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Individual

DR. ANDREW BLAZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
16573 DUNSWOOD RD, NORTHVILLE, MI 48168-2311
(734) 679-1639
Mailing address
16573 DUNSWOOD RD, NORTHVILLE, MI 48168-2311

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9201602641
MI

Other

Enumeration date
06/24/2025
Last updated
06/24/2025
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