Blackburn Wc Dmd

NPI #1982490397 in Los Alamitos, California

Provider Information

NPI Number: 1982490397
Entity Type: Organization
Organization Name: Blackburn Wc Dmd
Primary Specialty: Dentist
Enumeration Date: Apr 15, 2025
Last Updated: Apr 15, 2025

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/DENTIST
Phone: (562) 596-7484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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