Organization
DAVID BLACKMAN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BLACKMAN DDS (DENTIST)
(630) 260-1700
Entity
Organization
Contact information
Practice address
400 N GARY AVE, CAROL STREAM, IL 60188-4916
(630) 260-1700
(630) 260-1777
Mailing address
400 N GARY AVE, CAROL STREAM, IL 60188-4916
(630) 260-1700
(630) 260-1777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19017755
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
21001200
IL
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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