Individual provider · Type 1 NPI
Brian Chris Blalock, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Vista, CA
NPI number
1437286580
Active
Practice location
145 Cedar Rd, Suite B
Vista, CA 92083-5103
Fax (760) 724-7950
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | A06347 (CA) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | OMS23 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Vista
About NPI 1437286580
Brian Chris Blalock, DDS, MD's National Provider Identifier is 1437286580, issued on Feb 27, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Vista, CA. The record was last updated on Jul 8, 2007.