Individual
DR. BLAIR JOHN TUDOR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
670 SUPERIOR CT, SUITE 101, MEDFORD, OR 97504-6174
(541) 779-6170
(541) 779-0989
Mailing address
670 SUPERIOR CT, SUITE 101, MEDFORD, OR 97504-6174
(541) 779-6170
(541) 779-0989
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8994
OR
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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