Bryan Blackshare DDS

NPI #1235790593 in Rector, Arkansas

Provider Information

NPI Number
1235790593
Entity Type
Organization
Organization Name
Bryan Blackshare DDS
Primary Specialty
Dentist
Enumeration Date
Jun 26, 2019
Last Updated
Jun 26, 2019

Practice Location

Address
737 E 9TH ST
City
Rector
ZIP Code
72461-2705
Phone
(870) 595-3463

Authorized Official

Name
DR. SAMMY BRYAN BLACKSHARE
Title
OWNER
Phone
(870) 595-3463

Specialties & Taxonomy Codes

Specialty
Dentist

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