Individual
DR. ALEXANDER REINHARD PHILIP BLASEIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
317 SEVEN SPRINGS WAY STE 103, BRENTWOOD, TN 37027-4576
(615) 675-0050
Mailing address
317 SEVEN SPRINGS WAY STE 103, BRENTWOOD, TN 37027-4576
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10560
TN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
63494
CA
Other
Enumeration date
05/22/2013
Last updated
06/24/2020
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