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Individual

BLEU HUXFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
806 BUCHANAN BLVD STE 108, BOULDER CITY, NV 89005-2130
(702) 293-0205
Mailing address
806 BUCHANAN BLVD STE 108, BOULDER CITY, NV 89005-2130
(702) 293-0205

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7719
NV

Other

Enumeration date
01/09/2023
Last updated
01/09/2023
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