Individual
DR. THOMAS H BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
112 FALCON DRIVE, FREDERICKSBURG, VA 22408
(540) 898-8805
(540) 898-8806
Mailing address
112 FALCON DRIVE, FREDERICKSBURG, VA 22408
(540) 898-8805
(540) 898-8806
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
5280
VA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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