Individual
DR. RAYMOND CLAUDE BLACKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4210 SYLVANIA AVE, SUITE 203, TOLEDO, OH 43623
(419) 472-5006
(419) 472-0938
Mailing address
2900 RAUCH ROAD, TEMPERANCE, MI 48182
(734) 854-7923
(734) 854-7813
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30014921
OH
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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