Organization
BRADLEY A BLAIR DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY A BLAIR D.D.S. (OWNER)
(614) 878-8303
Entity
Organization
Contact information
Practice address
1101 NORTON RD, GALLOWAY, OH 43119-8956
(614) 878-8303
Mailing address
1101 NORTON RD, GALLOWAY, OH 43119-8956
(614) 878-8303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-016554
OH
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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