Olivia Blackmore

NPI #1700285434 in Lyons, New York

Provider Information

NPI Number
1700285434
Entity Type
Individual
Name
Olivia Blackmore
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dental Hygienist
Enumeration Date
Aug 19, 2014
Last Updated
Aug 20, 2014

Practice Location

Address
1519 NYE RD
City
Lyons
ZIP Code
14489-9133
Phone
(315) 871-3178

Specialties & Taxonomy Codes

Specialty
Dental Hygienist

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