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Individual

JOHN J BLEVINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS PC

Contact information

Practice address
286 NORTH MAIN STREET, YORK NEW SALEM, PA 17371
(717) 792-0484
(717) 792-9723
Mailing address
286 NORTH MAIN STREET, PO BOX 127, YORK NEW SALEM, PA 17371
(717) 792-0484
(717) 792-9723

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS18361
PA

Other

Enumeration date
04/29/2008
Last updated
04/29/2008
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