Organization
GEORGE F. BLAICH, DMD & ASSOCIATES, PC
Active
Other names
Dental Arts Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE F BLAICH IV DMD (PRESIDENT/ DENTIST)
(573) 785-0111
Entity
Organization
Contact information
Practice address
1300 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3314
(573) 785-0111
(573) 785-3840
Mailing address
1300 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3314
(573) 785-0111
(573) 785-3840
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13547
MO
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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