SearchCaliforniaGeneral Practice Dentistry

Burch Blackstock, D.D.S

NPI 1144387234 · on the registry since 2007

Practice

Address
12110 Woodside Ave
Lakeside, CA 92040
Phone
(619) 443-0444
Fax
(619) 443-0050
Organisation at this address
Blackstockdentalcorp
Arthur Santos Dds Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-04-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California