Individual
DR. THOMAS MICHAEL BLASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
6373 E TANQUE VERDE RD STE 110, TUCSON, AZ 85715-3835
(520) 296-1700
(520) 296-7353
Mailing address
12420 E CAPE HORN DR, TUCSON, AZ 85749-8488
(520) 749-9822
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3781
AZ
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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