Organization
JUSTICE BLAZER DRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG WHITE DDS (CEO)
(859) 533-1109
Entity
Organization
Contact information
Practice address
3285 BLAZER PKWY STE 200, LEXINGTON, KY 40509-2119
(859) 543-0700
Mailing address
105 SPRUCE ST, LEXINGTON, KY 40507-2109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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