Individual
DR. THOMAS KEVIN BLAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8775 CLOUDLEAP CT, SUITE 236, COLUMBIA, MD 21045-3044
(410) 730-2483
(410) 730-1179
Mailing address
8775 CLOUDLEAP CT, SUITE 236, COLUMBIA, MD 21045-3044
(410) 730-2483
(410) 730-1179
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9095
MD
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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