BRUCE A. BLACKBURN

KOKOMO, IN
NPI1689775546
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12007761A)
Enumeration Date2006-09-25
Last Update Date2007-07-08
Business Address
Dr. BRUCE A. BLACKBURN D.D.S.
200 S DIXON RD
KOKOMO, IN 46901-5073
Phone number: 765-456-3015
Mailing Address
Dr. BRUCE A. BLACKBURN D.D.S.
200 S DIXON RD
KOKOMO, IN 46901-5073
Phone number: 765-456-3015
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