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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