Individual
DR. BLAISE ANTHONY GUZZARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
94-71 217TH ST., QUEENS VILLAGE, NY 11428
(718) 464-4442
Mailing address
94-71 217TH ST., QUEENS VILLAGE, NY 11428
(718) 464-4442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30177
NY
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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