David S Blackett, D.D.S.

NPI #1366521817 in Elma, Washington

Provider Information

NPI Number: 1366521817
Entity Type: Individual
Name: David S Blackett, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Nov 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 615 W. WALDRIP ST.
City: Elma
State: Washington
ZIP Code: 98541
Phone: (360) 482-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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