Organization
N BRUCE BLAUM DMD MAGD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMAN B BLAUM DMD (MEMBER)
(251) 232-1083
Entity
Organization
Contact information
Practice address
8076 SPRING RUN DR, FAIRHOPE, AL 36532-3854
(251) 232-1083
(866) 291-0167
Mailing address
PO BOX 1027, MONTROSE, AL 36559-1027
(251) 232-1083
(866) 291-0167
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4072
AL
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
01/03/2012
Last updated
08/14/2012
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