Individual
DR. BRIAN E. BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2145 WOODLANE DR STE 104, SAINT PAUL, MN 55125-1920
(651) 738-8204
Mailing address
2145 WOODLANE DR STE 104, SAINT PAUL, MN 55125-1920
(651) 738-8204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13259
MN
Other
Enumeration date
02/17/2013
Last updated
04/20/2025
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