Kristine Ep Blackwelder DMD

NPI 1013905736 - Dentist - 122300000X

NPI Details
NPI 1013905736
Gender Female
Enumeration Date 10/06/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
US HIGHWAY 491 NORTH
SHIPROCK NM, 87420, US
Phone (505) 368-6020
Fax (505) 368-6431
Business Location
PO BOX 160
SHIPROCK NM, 87420-0160, US
Phone (505) 368-6020
Fax (505) 368-6431
Toxanomy
Taxonomy Code 122300000X
License State Kentucky
License Number 8245
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According to our database, Dr. Kristine Ep Blackwelder DMD NPI is 1013905736, taxonomy code is 122300000X and license number is 8245, license state is located at Kentucky. Kristine Ep Blackwelder DMD physically located at Us Highway 491 North, Shiprock NM, 87420. NPI Number Kristine Ep Blackwelder DMD has the Individual type.

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1013905736 NPI number is provided on an as is basis without warranty of any kind. 1013905736 is maintained by the National Plan & Provider Enumeration System. The contents of Kristine Ep Blackwelder DMD are for informational purposes only.