Individual
DR. WILLIAM JOHN BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
700 24TH AVE SW, NORMAN, OK 73069-3946
(405) 360-5566
(405) 360-2746
Mailing address
700 24TH AVE SW, NORMAN, OK 73069-3946
(405) 360-5566
(405) 360-2746
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4455
OK
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
4455
OK
Other
Enumeration date
03/16/2007
Last updated
05/08/2019
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