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Organization
DANIEL R. BLAZO, DDS, PLLC
Active
Organization
DANIEL R. BLAZO, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL BLAZO DDS (OWNER)
(313) 505-0985
Entity
Organization
Contact information
Practice address
22100 OUTER DR, DEARBORN, MI 48124-3932
(313) 563-5855
Mailing address
22100 OUTER DR, DEARBORN, MI 48124-3932
(313) 563-5855
(313) 563-5865
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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