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Individual
DR. LENORA BLATHERS
Active
Individual
DR. LENORA BLATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12781
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN1000105
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01620252
UNITED CONCORDIA
MD
05
—
053860400
—
DC
05
—
21928-3
—
MD
Enumeration date
02/16/2007
Last updated
03/21/2014
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