Blais, Kenneth A
Blais, Kenneth A is an individual health care provider with primary practice located at 7230 Heritage Village Plz Ste 101 , Gainesville VA 20155-3054. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Blais, Kenneth A can be contacted via phone (703) 379-2700.Contact Information
Primary practice address
7230 Heritage Village Plz Ste 101
Gainesville VA 20155-3054
Phone: (703) 379-2700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 0401414340 | Virginia |
Profile Details
| NPI number | 1871704189 |
|---|---|
| LBN Legal business name | Blais, Kenneth A |
| Credentials | DMD, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Jul 17th, 2024 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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