Organization
BLEW FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN CHRISTOPHER BLEW D.D.S. (PRESIDENT)
(309) 797-4336
Entity
Organization
Contact information
Practice address
604 35TH AVE, MOLINE, IL 61265-6174
(309) 797-4336
Mailing address
604 35TH AVE, MOLINE, IL 61265-6174
(309) 797-4336
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019024739
IL
Other
Enumeration date
04/09/2007
Last updated
02/10/2011
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