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Organization

BLANFORD FARMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY BLANFORD DDS (DDS)
(419) 228-3311
Entity
Organization

Contact information

Practice address
3000 ELIDA ROAD SUITE 3, LIMA, OH 45805
(419) 228-3311
Mailing address
3000 ELIDA ROAD SUITE 3, LIMA, OH 45805
(419) 228-3311

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2454302
OH
Enumeration date
04/17/2018
Last updated
04/17/2018
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