DR. George Maury Blackburn, D.M.D., F.A.G.D.

NPI #1003870601 in Austin, Texas

Provider Information

NPI Number
1003870601
Entity Type
Individual
Name
DR. George Maury Blackburn, D.M.D., F.A.G.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.M.D., F.A.G.D.
Enumeration Date
Apr 12, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
12505 HYMEADOW DR
Address 2
SUITE 2D
City
Austin
State
Texas
ZIP Code
78750-1867
Phone
(512) 258-3627

Specialties & Taxonomy Codes

Specialty
Dentist

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