Individual
DR. BLAIR ANDREW KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
3835 CYPRESS DR, SUITE 208, PETALUMA, CA 94954-6965
(707) 762-8047
(707) 762-5439
Mailing address
3835 CYPRESS DR, SUITE 208, PETALUMA, CA 94954-6965
(707) 762-8047
(707) 762-5439
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
40364
CA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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