Individual
DR. DOUGLAS G BLACKMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1 PLAZA LN, RAMSEY, NJ 07446-1829
(201) 934-7707
Mailing address
1 PLAZA LN, RAMSEY, NJ 07446-1829
(201) 934-7707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI015264
NJ
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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