Individual
DR. DAVID BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1788 HIGHWAY 157 N, STE 105, MANSFIELD, TX 76063-3989
(817) 473-2222
Mailing address
1788 HIGHWAY 157 N, STE 105, MANSFIELD, TX 76063-3989
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13721
TX
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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