Individual
DR. BENJAMIN ALLEN BLACKBURN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2812 PIEDMONT RD NE, SUITE 400, ATLANTA, GA 30305-2779
(404) 659-7696
Mailing address
2812 PIEDMONT RD NE, ATLANTA, GA 30305-2779
(404) 659-7696
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
7401
GA
Other
Enumeration date
07/02/2007
Last updated
08/30/2013
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