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1184892473
SHANE KYLE BLACKER
TEMPE, AZ
NPI
1184892473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: AZ 6210)
Enumeration Date
2008-02-20
Last Update Date
2008-02-20
Business Address
-- SHANE KYLE BLACKER DDS
6200 S MCCLINTOCK DR STE 11
TEMPE, AZ 85283-3268
Phone number: 480-839-6262
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Mailing Address
-- SHANE KYLE BLACKER DDS
6200 S MCCLINTOCK DR STE 11
TEMPE, AZ 85283-3268
Phone number: 480-839-6262
Copy
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