JEFFERSON THAIR BLACKBURN

MIDLOTHIAN, VA
NPI1760401913
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: VA  6533)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
Dr. JEFFERSON THAIR BLACKBURN DDS
2301 ROBIOUS STATION CIR
MIDLOTHIAN, VA 23113-2124
Phone number: 804-378-7888
Mailing Address
Dr. JEFFERSON THAIR BLACKBURN DDS
1907 GILDENBOROUGH CT
MIDLOTHIAN, VA 23113-6051
Phone number: 804-378-7539