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Dr. Brian Chris Blalock, DDS,MD
Oral and Maxillofacial Surgery (Dentist) in Vista, California
NPI 1437286580

Brian Chris Blalock is a Oral and Maxillofacial Surgery (Dentist) based in Vista, CA and is specialized in Oral and Maxillofacial Surgery. Brian Chris Blalock practices in Vista, CA and has the professional credentials of DDS,MD. The NPI Number for Brian Chris Blalock is 1437286580 and holds a License No. A06347 (California).

The current practice location address for Brian Chris Blalock is 145 Cedar Rd, Vista, CA and can be reached out via phone at 760-724-8891 and via fax at 760-724-7950.

Location: 145 Cedar Rd, Vista, CA, 92083-5103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437286580
Provider Name
Brian Chris Blalock
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
145 Cedar Rd, Vista, CA, 92083-5103
Phone Number
760-724-8891
Fax Number
760-724-7950
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
145 Cedar Rd
City
Vista
State
California
Zip
92083-5103
Phone Number
760-724-8891
Fax Number
760-724-7950
person
Provider Business Mailing Address Details
Address
145 Cedar Rd
City
Vista
State
California
Zip
92083-5103
Phone Number
760-724-8891
Fax Number
760-724-7950
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
A06347 (California)
Definition
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.
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