Individual
DR. KEVIN F BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3805 HARRISON RD, LOGANVILLE, GA 30052-2462
(770) 554-0848
(770) 554-4569
Mailing address
3805 HARRISON ROAD, LOGANVILLE, GA 30052
(770) 554-0848
(770) 554-4569
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011481
GA
Other
Enumeration date
02/13/2007
Last updated
07/21/2022
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