Individual
DR. MICHAEL P BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1211 W LA PALMA AVE, SUITE 604, ANAHEIM, CA 92801-2815
(714) 772-2200
(714) 520-0969
Mailing address
1211 W LA PALMA AVE, SUITE 604, ANAHEIM, CA 92801-2815
(714) 772-2200
(714) 520-0969
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D25236
CA
Other
Enumeration date
12/11/2006
Last updated
11/21/2011
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