William Raymond Blackmore DDS

NPI 1043262355 - Dentist - 122300000X

NPI Details
NPI 1043262355
Gender Male
Enumeration Date 05/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
704 S MEADOW ST
PAYSON AZ, 85541, US
Phone (928) 474-5231
Fax (928) 474-7448
Business Location
704 S MEADOW ST
PAYSON AZ, 85541, US
Phone (928) 474-5231
Fax (928) 474-7448
Toxanomy
Taxonomy Code 122300000X
License State Arizona
License Number 3009
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According to our database, Dr. William Raymond Blackmore DDS NPI is 1043262355, taxonomy code is 122300000X and license number is 3009, license state is located at Arizona. William Raymond Blackmore DDS physically located at 704 S Meadow St, Payson AZ, 85541. NPI Number William Raymond Blackmore DDS has the Individual type.

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1043262355 NPI number is provided on an as is basis without warranty of any kind. 1043262355 is maintained by the National Plan & Provider Enumeration System. The contents of William Raymond Blackmore DDS are for informational purposes only.