Organization
CRAIG BLACKHAM, DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG A BLACKHAM DDS (DENTIST)
(804) 222-3310
Entity
Organization
Contact information
Practice address
7063 MESSER RD, RICHMOND, VA 23231-5509
(804) 222-3310
(804) 222-3311
Mailing address
7063 MESSER RD, RICHMOND, VA 23231-5509
(804) 222-3310
(804) 222-3311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414225
VA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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