Organization
DENTON CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT JOSEPH BLASE JR. DC (OWNER)
(336) 625-1750
Entity
Organization
Contact information
Practice address
1273 CEDAR CREEK DR, ASHEBORO, NC 27205-2625
(336) 736-8195
(336) 498-8522
Mailing address
1273 CEDAR CREEK DR, ASHEBORO, NC 27205-2625
(336) 736-8195
(336) 498-8522
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
23878
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909430
—
NC
05
—
89012J1
—
NC
Enumeration date
06/12/2006
Last updated
10/08/2008
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