Individual
JUSTIN EDWARD BLAZEJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1860 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1949
(702) 779-3668
Mailing address
2250 S RANCHO DR STE 205, LAS VEGAS, NV 89102-4456
(702) 779-3668
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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