DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLACKSTOCKDENTALCORP

Active Organization

BLACKSTOCKDENTALCORP is a General Dentistry organization located in LAKESIDE, California. NPI 1417168881 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · LAKESIDE, CA

Registration Details

NPI Number
1417168881
Provider Type
Organization
NPI Issued
May 25, 2007 (19.23663351234 yrs)
Last Updated
Feb 10, 2016
License
42123 (CA)

Practice Information

Address
12110 WOODSIDE AVE
LAKESIDE, CA, 920403012
Browse CA providers · Browse ZIP 92040
Phone
6194430444
Fax
6194430050
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in LAKESIDE, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.