Organization
JOHN G BLAZIC DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA BARCUS (OFFICE MANAGER)
(317) 839-4604
Entity
Organization
Contact information
Practice address
1655 HAWTHORNE DR, SUITE F & G, PLAINFIELD, IN 46168-1895
(317) 839-4604
(317) 837-2436
Mailing address
1655 HAWTHORNE DR, SUITE F & G, PLAINFIELD, IN 46168-1895
(317) 839-4604
(317) 837-2436
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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