Organization
BLACKHURST PERIODONTICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA BLACKHURST D.D.S. (OWNER, PERIODONTIST)
(302) 507-3784
Entity
Organization
Contact information
Practice address
2710 CENTERVILLE RD STE 205, WILMINGTON, DE 19808-1664
(302) 507-3784
Mailing address
7 HASLET WAY, WILMINGTON, DE 19807-3119
(302) 507-3784
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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