Burch Lee Blackstock, DDS | |
12110 Woodside Ave, Lakeside, CA 92040-3012 | |
(619) 443-0444 | |
(619) 443-0050 |
Full Name | Burch Lee Blackstock |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 12110 Woodside Ave, Lakeside, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144387234 | NPI | - | NPPES |
42123 | Other | CA | DENTAL BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 42123 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Burch Lee Blackstock, DDS 12110 Woodside Ave, Lakeside, CA 92040-3012 Ph: (619) 443-0444 | Burch Lee Blackstock, DDS 12110 Woodside Ave, Lakeside, CA 92040-3012 Ph: (619) 443-0444 |
Dr. Diana Laree Cluff, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9447 Winter Gardens Blvd, Lakeside, CA 92040 Phone: 619-443-3948 | |
Dr. Cesar Ayala, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12110 Woodside Ave, Lakeside, CA 92040 Phone: 619-334-8743 | |
Dr. Arnold I Cutler, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9927 Channel Rd, Lakeside, CA 92040 Phone: 619-561-3307 Fax: 619-561-3804 | |
Dr. David Robert Russell, DDS Dentist Medicare: Medicare Enrolled Practice Location: 8334 Winter Gardens Blvd, Lakeside, CA 92040 Phone: 619-443-7898 Fax: 619-443-4404 | |
Dr. Don Richard Graham, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9710 Winter Gardens Blvd, Suite #c, Lakeside, CA 92040 Phone: 619-443-8447 Fax: 619-443-5450 | |
Mrs. Ana I Cluff, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9447 Winter Gardens Blvd, Lakeside, CA 92040 Phone: 619-443-3948 Fax: 619-443-3938 |