DR. John Walton Blackman II, DDS

NPI #1063637668 in Winston Salem, North Carolina

Provider Information

NPI Number: 1063637668
Entity Type: Individual
Name: DR. John Walton Blackman II, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1409 PLAZA WEST ROAD
Address 2: #H
City: Winston Salem
State: North Carolina
ZIP Code: 27103
Phone: (336) 760-9258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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