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1366521817
DAVID S BLACKETT
ELMA, WA
NPI
1366521817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00009588)
Enumeration Date
2006-11-03
Last Update Date
2007-07-08
Business Address
-- DAVID S BLACKETT D.D.S.
615 W. WALDRIP ST.
ELMA, WA 98541
Phone number: 360-482-4000
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Mailing Address
-- DAVID S BLACKETT D.D.S.
PO BOX D1
ELMA, WA 98541-0600
Phone number: 360-482-4000
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