RUSSELL SCOTT BLACKMAN

PHOENIX, AZ
NPI1700866910
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
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
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