Individual
DR. JORDAN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
744 CENTRAL AVE, DUNKIRK, NY 14048-2505
(716) 366-6822
Mailing address
744 CENTRAL AVE, DUNKIRK, NY 14048-2505
(716) 366-6822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
058063
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538566963
—
NY
Enumeration date
08/26/2015
Last updated
08/26/2015
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