Individual
DR. MARK ALAN BLUMENSCHEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
26 E MAIN ST, FAIRBORN, OH 45324
(937) 879-9767
(937) 878-2093
Mailing address
26 E MAIN ST, FAIRBORN, OH 45324
(937) 879-9767
(937) 878-2093
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18461
OH
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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