MRS. Marilyn Blackmun, PDHAP

NPI #1790909349 in La Canada, California

Provider Information

NPI Number
1790909349
Entity Type
Individual
Name
MRS. Marilyn Blackmun, PDHAP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dental Hygienist
Credential
PDHAP
Enumeration Date
Apr 13, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2209 SAN GORGONIO RD
ZIP Code
91011-1352
Phone
(818) 957-1589

Specialties & Taxonomy Codes

Specialty
Dental Hygienist

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