Organization
MICHAEL P BLUM DDS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BLUM DDS (DR)
(714) 772-2200
Entity
Organization
Contact information
Practice address
1211 W LA PALMA AVE STE. 604, ANAHEIM, CA 92801-9280
(714) 772-2200
(714) 772-6812
Mailing address
1211 W LA PALMA AVE STE 604, ANAHEIM, CA 92801-2813
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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