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Organization
JOHN WALTON BLACKMAN III DDS
Active
Organization
JOHN WALTON BLACKMAN III DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WALTON BLACKMAN III DDS (OWNER DENTIST)
(336) 760-9258
Entity
Organization
Contact information
Practice address
1409 H PLAZA WEST RD, WINSTON SALEM, NC 27103-1418
(336) 760-9258
(336) 659-9258
Mailing address
1409 H PLAZA WEST RD, WINSTON SALEM, NC 27103-1418
(336) 760-9258
(336) 659-9258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3165
NC
Other
Enumeration date
06/21/2007
Last updated
08/22/2020
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