KEITH A. BLACKMON

DOTHAN, AL
NPI1629017744
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: AL  4491)
Enumeration Date2006-06-05
Last Update Date2007-07-08
Business Address
DR. KEITH A. BLACKMON D.D.S.
107 PROFESSIONAL LN
DOTHAN, AL 36303-3875
Phone number: 334-792-5711
Mailing Address
DR. KEITH A. BLACKMON D.D.S.
107 PROFESSIONAL LN
DOTHAN, AL 36303-3875
Phone number: 334-792-5711
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