Individual
IRVING BLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
24415 W WARREN ST, DEARBORN HTS, MI 48127-2223
(313) 278-4470
(313) 278-0124
Mailing address
3835 SPANISH OAKS DR, W BLOOMFIELD, MI 48323-1867
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9971
MI
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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