| W.r. Blackwelder D.d.s. , Inc. | |
|
19728 Colima Rd Rowland Heights CA 91748-3210 | |
| (909) 594-1758 | |
| (909) 594-4158 |
| Full Name | W.r. Blackwelder D.d.s. , Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19728 Colima Rd, Rowland Heights, California |
| Authorized Official Name and Position | Wallace R. Blackwelder (PRESIDENT) |
| Authorized Official Contact | 9095941758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W.r. Blackwelder D.d.s. , Inc. 19728 Colima Rd Rowland Heights CA 91748-3210 Ph: (909) 594-1758 | W.r. Blackwelder D.d.s. , Inc. 19728 Colima Rd Rowland Heights CA 91748-3210 Ph: (909) 594-1758 |
| NPI Number | 1144439993 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 06/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144439993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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