Individual provider · Type 1 NPI

Burch Lee Blackstock, D.D.S

General Practice Dentistry · Lakeside, CA

NPI number 1144387234 Active

About NPI 1144387234

Burch Lee Blackstock, D.D.S's National Provider Identifier is 1144387234, issued on Jan 2, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lakeside, CA. The record was last updated on Apr 17, 2014.