Daniel R. Blazo, Dds, Pllc | |
22100 Outer Dr Dearborn MI 48124-3932 | |
(313) 563-5855 | |
Not Available |
Full Name | Daniel R. Blazo, Dds, Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 22100 Outer Dr, Dearborn, Michigan |
Authorized Official Name and Position | Daniel Blazo (OWNER) |
Authorized Official Contact | 3135050985 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Daniel R. Blazo, Dds, Pllc 22100 Outer Dr Dearborn MI 48124-3932 Ph: (313) 563-5855 | Daniel R. Blazo, Dds, Pllc 22100 Outer Dr Dearborn MI 48124-3932 Ph: (313) 563-5855 |
NPI Number | 1740859867 |
---|---|
Provider Enumeration Date | 06/22/2021 |
Last Update Date | 06/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740859867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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