Individual
DR. MAUREEN MIKHO BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
117 W PATERSON ST, KALAMAZOO, MI 49007-2581
(269) 349-2641
Mailing address
117 W PATERSON ST, KALAMAZOO, MI 49007-2557
(269) 349-2641
(269) 201-2855
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022231
MI
Other
Enumeration date
06/01/2017
Last updated
05/23/2024
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