# BLAIR FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972932796
- **Authorized official:** KYRE MYISHA BLAIR D.D.S. (DENTIST)
- **Authorized official phone:** (734) 255-1195

## Contact information

- **Practice address:** 2500 CEDAR ST, HOLT, MI 48842-2158
- **Practice address phone:** (517) 694-3111
- **Practice address fax:** (517) 694-9202
- **Mailing address:** 2500 CEDAR ST, HOLT, MI 48842-2158
- **Mailing address phone:** (517) 694-3111
- **Mailing address fax:** (517) 694-9202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901019997 | MI | Yes |

## Other

- **Enumeration date:** 11/02/2013
- **Last updated:** 11/02/2013