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:

Map and Directions

Health care specialties

Specialty	Code	License #	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 11 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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