Brock, Kallie Law

Brock, Kallie Law is an individual health care provider with primary practice located at 205 Waleska Rd Suite 2A, Canton GA 30114-2493. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is her primary health care specialty. Brock, Kallie Law can be contacted via phone (770) 479-3713.

Contact Information

Primary practice address
205 Waleska Rd Suite 2A Canton GA 30114-2493
Phone: (770) 479-3713
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8162 South Carolina
Dental Providers / Dentist 122300000X DN014538 Georgia

Profile Details

NPI number 1447596655
LBN Legal business name Brock, Kallie Law
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2012
Last updated Feb 15th, 2015 - about 9 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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