W.r. Blackwelder D.d.s. , Inc.
NPI #1144439993 in Rowland Heights, California
Provider Information
- NPI Number
- 1144439993
- Entity Type
- Organization
- Organization Name
- W.r. Blackwelder D.d.s. , Inc.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 21, 2007
- Last Updated
- Jun 13, 2012
Practice Location
- Address
- 19728 COLIMA RD
- City
- Rowland Heights
- State
- California
- ZIP Code
- 91748-3210
- Phone
- (909) 594-1758
Authorized Official
- Name
- DR. WALLACE R. BLACKWELDER, D.D.S.
- Title
- PRESIDENT
- Phone
- (909) 594-1758
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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