| NPI | 1790883023 |
|---|---|
| Doing Business As | BLACKHAWK ORTHODONTICS, INC |
| Entity Type | Organization |
| Authorized Contact | RICHARD J ANTHONY President 925-736-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 34025) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |