Individual
MRS. ANNA BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
501 GARFIELD ST, QUINTER, KS 67752-9795
(785) 754-2441
Mailing address
PO BOX 557, QUINTER, KS 67752-0557
(785) 754-2441
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10112
KS
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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