Dr. WILLIAM SIDNEY BLACKMORE D.M.D.
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1427480151- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.M.D.
- Status
- Active
Contact & Location
- Address
- 23377 ILLAHEE DR, ALPINE, CA, 919015413
- Phone
- (208) 251-3382
Specialties & Taxonomies
Dentist, General Practice
License: ID #D-4516
Dentist, Oral and Maxillofacial Surgery
Primary License: ID #D-4516