SHANE KYLE BLACKER

TEMPE, AZ
NPI1184892473
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: AZ  6210)
Enumeration Date2008-02-20
Last Update Date2008-02-20
Business Address
SHANE KYLE BLACKER DDS
6200 S MCCLINTOCK DR STE 11
TEMPE, AZ 85283-3268
Phone number: 480-839-6262
Mailing Address
SHANE KYLE BLACKER DDS
6200 S MCCLINTOCK DR STE 11
TEMPE, AZ 85283-3268
Phone number: 480-839-6262
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