Blair Kirk, DDS, MS

NPI 1861524118 · on the registry since 2007 · sole proprietor

Practice

Address: 3835 Cypress Dr
Suite 208
Petaluma, CA 94954
Phone: (707) 762-8047
Fax: (707) 762-5439
Organisation at this address: Alliance Pain Care
United Cerebral Palsy Of The North Bay
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 1223X0400X
1223X0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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