Individual
DR. KRISTIN NICOLE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3024 MARTIN LUTHER KING JR DR SW, ATLANTA, GA 30311-1515
(404) 696-3163
Mailing address
7308 MARLBROOK DR, CHARLOTTE, NC 28212-4770
(980) 428-3770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123130
GA
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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