Individual
DR. MARK BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7800 W OAKLAND PARK BLVD, SUITE #301, SUNRISE, FL 33351-6741
(954) 748-3448
Mailing address
7800 W OAKLAND PARK BLVD, SUITE #301, SUNRISE, FL 33351-6741
(954) 748-3448
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11034
FL
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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