Mckenzie Blackwell

NPI #1417644907 in Forest Hill, Maryland

Provider Information

NPI Number: 1417644907
Entity Type: Individual
Name: Mckenzie Blackwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Apr 24, 2023
Last Updated: Dec 19, 2024

Practice Location

Address: 1920 ROCK SPRING RD FL 2
City: Forest Hill
State: Maryland
ZIP Code: 21050-9808
Phone: (410) 605-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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