TY BLACKER

FORT SILL, OK
NPI1336813534
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: FL  DN26345)
Enumeration Date2021-08-03
Last Update Date2023-04-11
Business Address
DR. TY BLACKER DMD
605 RANDOLPH RD
FORT SILL, OK 73503-4535
Phone number: 580-442-5925
Mailing Address
DR. TY BLACKER DMD
1208 APPLE CREEK DR
ELGIN, OK 73538-8840
Phone number:
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