Charlton Bryan Blakeney D.m.d.

NPI #1417352204 in Gulfport, Mississippi

Provider Information

NPI Number
1417352204
Entity Type
Organization
Organization Name
Charlton Bryan Blakeney D.m.d.
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 23, 2014
Last Updated
Oct 23, 2014

Practice Location

Address
12182 HIGHWAY 49
ZIP Code
39503-3125
Phone
(228) 832-4224

Authorized Official

Name
KAREN BLAKENEY
Title
OWNER
Phone
(228) 896-0019

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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