Individual
DR. ROBERT HERRON BLEASE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2724 MIDDLEBURG DR, COLUMBIA, SC 29204-2437
(803) 318-1998
Mailing address
2724 MIDDLEBURG DR, COLUMBIA, SC 29204-2437
(803) 318-1998
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1214
SC
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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