Individual
DR. GARY NEIL BLUM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
737 EVERHART RD, SUITE 2, CORPUS CHRISTI, TX 78411-1924
(361) 992-7641
(361) 992-4510
Mailing address
737 EVERHART RD, SUITE 2, CORPUS CHRISTI, TX 78411-1924
(361) 992-7641
(361) 992-4510
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
9285
TX
Other
Enumeration date
06/30/2005
Last updated
07/08/2007
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