Individual
JEFFREY COLIN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1380 DUNCAN DR, COTTONWOOD, AZ 86326-5539
(928) 634-8567
(928) 634-8646
Mailing address
PO BOX 2354, COTTONWOOD, AZ 86326-2354
(928) 634-7312
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4038
AZ
Other
Enumeration date
05/20/2006
Last updated
10/16/2015
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