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Individual
DR. BLAIR GREGORY OTA
Active
Individual
DR. BLAIR GREGORY OTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
24159
CA
Other
Enumeration date
11/17/2006
Last updated
07/09/2007
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