Individual
DAVID W BLACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6430 BROOK PARK DR, #100, COLORADO SPRINGS, CO 80918
(719) 268-9777
Mailing address
6430 BROOK PARK DR, #100, COLORADO SPRINGS, CO 80918
(719) 268-9777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5499
CO
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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