George M. Blackburn Jr. D.m.d.

NPI #1083995500 in Austin, Texas

Provider Information

NPI Number
1083995500
Entity Type
Organization
Organization Name
George M. Blackburn Jr. D.m.d.
Primary Specialty
Dentist
Enumeration Date
Aug 30, 2011
Last Updated
Aug 30, 2011

Practice Location

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

Authorized Official

Name
DR. GEORGE M. BLACKBURN, D.M.D.
Title
OWNER
Phone
(512) 258-3627

Specialties & Taxonomy Codes

Specialty
Dentist

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