Daniel G Blackner, D.M.D. Valid NPI
Individual provider · Dentist · Yelm, WA
- NPI
- 1386076487
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- DE 60391314 (WA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2013-07-31
- Last updated
- 2013-07-31
Practice location
718 W Yelm Ave
Yelm, WA 98597-8764
(360) 458-5606