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Individual
DR. WILLIAM JOHN BLUM
Active
Individual
DR. WILLIAM JOHN BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4455
OK
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
4455
OK
Other
Enumeration date
03/16/2007
Last updated
05/08/2019
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