Individual
DR. THOMAS D BLANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S,M.S.
Contact information
Practice address
112 N PARK DR, FAYETTEVILLE, GA 30214-1645
(770) 474-0007
(770) 474-5453
Mailing address
125 EAGLES POINTE PKWY, SUITE 200, STOCKBRIDGE, GA 30281-6379
(770) 474-0007
(770) 474-5545
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN008639
GA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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