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1013478288
THOMAS MATTHEW BLACKWELL
SIMPSONVILLE, SC
NPI
1013478288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: SC 9604)
Enumeration Date
2019-03-28
Last Update Date
2022-03-23
Business Address
Dr. THOMAS MATTHEW BLACKWELL DMD
805 W GEORGIA RD
SIMPSONVILLE, SC 29680-6213
Phone number: 864-757-1500
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Mailing Address
Dr. THOMAS MATTHEW BLACKWELL DMD
805 W GEORGIA RD
SIMPSONVILLE, SC 29680-6213
Phone number: 864-757-1500
Copy
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