Individual
DR. GARY ROBERT BLUMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
293 N SOUTH ST, WILMINGTON, OH 45177-1660
(937) 382-2042
(937) 382-8936
Mailing address
293 N SOUTH ST, WILMINGTON, OH 45177-1660
(937) 382-2042
(937) 382-8936
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17446
OH
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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