Individual
DR. BENJAMIN ALLAN BLACKBURN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
75 PIEDMONT AVE NE STE 400, ATLANTA, GA 30303-2509
(404) 659-7696
Mailing address
75 PIEDMONT AVE NE STE 400, ATLANTA, GA 30303-2509
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
12333
GA
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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