Organization
FRONTIER DENTAL ARTS, P.C.
Active
Other names
William R Blackmore, DDS, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RAYMOND BLACKMORE DDS (PRESIDENT)
(928) 474-5231
Entity
Organization
Contact information
Practice address
704 S MEADOW ST, PAYSON, AZ 85541-5341
(928) 474-5231
(928) 474-7448
Mailing address
704 S MEADOW ST, PAYSON, AZ 85541-5341
(928) 474-5231
(928) 474-7448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3009
AZ
Other
Enumeration date
04/27/2006
Last updated
11/08/2010
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