Individual
DR. BLAIR FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
14967 W BELL RD STE 150, SURPRISE, AZ 85374-3223
(623) 544-1334
Mailing address
14967 W BELL RD STE 150, SURPRISE, AZ 85374-3223
(623) 544-1334
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D5454
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D5454
AZ DENTAL LICENSE
AZ
Enumeration date
08/15/2006
Last updated
11/07/2018
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