DR. William Raymond Blackmore, DDS

NPI #1043262355 in Payson, Arizona

Provider Information

NPI Number: 1043262355
Entity Type: Individual
Name: DR. William Raymond Blackmore, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 704 S MEADOW ST
City: Payson
State: Arizona
ZIP Code: 85541
Phone: (928) 474-5231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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