Individual
DR. CHRISTOPHER TALMAGE BLACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16420 MERIDIAN E, #104, PUYALLUP, WA 98375-2514
(253) 445-6669
(253) 840-4193
Mailing address
16420 MERIDIAN E, #104, PUYALLUP, WA 98375-2514
(253) 445-6669
(253) 840-4193
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60385528
WA
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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