Richard Blackburn Dmd, INC

NPI #1457023921 in Los Alamitos, California

Provider Information

NPI Number: 1457023921
Entity Type: Organization
Organization Name: Richard Blackburn Dmd, INC
Primary Specialty: Dentist
Enumeration Date: Oct 1, 2021
Last Updated: Dec 3, 2021

Practice Location

Address: 3532 HOWARD AVE STE 200
City: Los Alamitos
State: California
ZIP Code: 90720-3699
Phone: (562) 596-7484

Authorized Official

Name: RICHARD BLACKBURN, DMD
Title: OWNER
Phone: (562) 596-7484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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