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Individual

CRAIG BLUCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4920 WATERLOO ROAD, SUITE B, ELLICOTT CITY, MD 21042-6689
(410) 750-7855
(410) 203-9435
Mailing address
4920-A WATERLOO ROAD, ELLICOTT CITY, MD 21042-6651
(410) 750-7855
(410) 203-9435

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7223
MD

Other

Enumeration date
04/01/2008
Last updated
04/01/2008
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