Individual
JOHN P BLATZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
288 BELMONT STREET, BROCKTON, MA 02301
(508) 583-0103
(508) 583-0140
Mailing address
288 BELMONT STREET, MASSASOIT DENTAL ASSOCIATES, BROCKTON, MA 02301
(508) 583-0103
(508) 583-0140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15570
MA
Other
Enumeration date
04/13/2007
Last updated
06/20/2016
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