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Organization

BLUHM, DORSCH AND VANDERVORT, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW EDWARD BLUHM D.D.S (PRESIDENT)
(703) 729-8700
Entity
Organization

Contact information

Practice address
44340 PREMIER PLZ, SUITE 100, ASHBURN, VA 20147-5025
(703) 729-8700
(703) 729-5300
Mailing address
44340 PREMIER PLZ, SUITE 100, ASHBURN, VA 20147-5073
(703) 729-8700
(703) 729-5300

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
174400000X
Specialist
0401007764
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
066607
BCBS
VA
01
067698
BCBS
VA
01
450038
BCBS
VA
01
450039
BCBS
VA
Enumeration date
01/29/2007
Last updated
01/25/2022
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