Individual
DR. BRUCE B BLAU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
121 E 60TH ST, NEW YORK, NY 10022-1117
(212) 888-6311
(212) 319-8388
Mailing address
121 E 60TH ST, NEW YORK, NY 10022-1117
(212) 888-6311
(212) 319-8388
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
039110
NY
Other
Enumeration date
08/12/2005
Last updated
07/08/2007
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