Individual
DR. TREVOR CHARLES BLATTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
826 WASHINGTON RD, SUITE 104, WESTMINSTER, MD 21157-5750
(410) 857-5755
Mailing address
8005 DERBY LN, OWINGS MILLS, MD 21117-5218
(573) 979-0040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15081
MD
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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