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1669482808
KEITH ALLAN BLALOCK
HELOTES, TX
NPI
1669482808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TX 15290)
Enumeration Date
2006-08-09
Last Update Date
2012-02-15
Business Address
-- KEITH ALLAN BLALOCK dds,ms
12340 BANDERA RD SUITE 102
HELOTES, TX 78023-4574
Phone number: 210-695-9996
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Mailing Address
-- KEITH ALLAN BLALOCK dds,ms
12340 BANDERA RD SUITE 102
HELOTES, TX 78023-4574
Phone number: 210-695-9996
Copy
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