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JACOB BLACKHURST, DDS

DDS

Dentist

NPI: 1154938520Individual

Specialties, Licenses & Credentials

DentistPrimary

Dentist

Code: 122300000X

11821131-992(UT)

Contact & Hours

Address
BLDG 4-1838 NORMANDY DR
APO, AA 28307

Quick Facts

NPI
1154938520
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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