Blalock, Keith Allan

Blalock, Keith Allan is an individual health care provider with primary practice located at 12340 Bandera Rd Suite 102, Helotes TX 78023-4574. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Blalock, Keith Allan can be contacted via phone (210) 695-9996.

Contact Information

Primary practice address
12340 Bandera Rd Suite 102 Helotes TX 78023-4574
Phone: (210) 695-9996
Fax: (210) 695-9566
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 15290 Texas

Profile Details

NPI number 1669482808
LBN Legal business name Blalock, Keith Allan
Credentials DDS,MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Feb 15th, 2012 - about 12 years 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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