Individual
NATHON ALLAN BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4341 TUDOR CENTRE DR, FIREWEED DENTAL, ANCHORAGE, AK 99508-5904
(907) 729-2000
(907) 729-5178
Mailing address
PO BOX 35151, SEATTLE, WA 98124-5151
(907) 317-6070
(817) 977-4688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100534
AK
Other
Enumeration date
02/27/2015
Last updated
07/24/2015
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