RUSSELL SCOTT BLACKMAN

PHOENIX, AZ
NPI1700866910
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: AZ  2325)
Enumeration Date2006-01-23
Last Update Date2007-07-08
Business Address
RUSSELL SCOTT BLACKMAN D.D.S.
16845 N 29TH AVE SUITE 6
PHOENIX, AZ 85053-3053
Phone number: 602-866-0418
Mailing Address
RUSSELL SCOTT BLACKMAN D.D.S.
16845 N 29TH AVE SUITE 6
PHOENIX, AZ 85053-3053
Phone number: 602-866-0418