Individual
DR. WILLIAM RAYMOND BLACKMORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
704 S MEADOW ST, PAYSON, AZ 85541
(928) 474-5231
(928) 474-7448
Mailing address
704 S MEADOW ST, PAYSON, AZ 85541
(928) 474-5231
(928) 474-7448
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3009
AZ
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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