Individual
DR. ALEXIA LAUREN BLACKHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2803
(757) 953-8635
Mailing address
7 ELDERBERRY CT, HOCKESSIN, DE 19707-2131
(302) 507-9089
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042428
PA
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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