Individual
JOHN G. BLAZIC
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1655 HAWTHORNE DR, SUITE F & G, PLAINFIELD, IN 46168-1895
(317) 839-4604
Mailing address
1655 HAWTHORNE DR, SUITE F & G, PLAINFIELD, IN 46168-1895
(317) 839-4604
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7322
IN
Other
Enumeration date
05/13/2006
Last updated
07/08/2007
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