Organization
BLAINE TRAVIS BOHRER, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAINE TRAVIS BOHRER DDS (DENTIST)
(757) 428-8282
Entity
Organization
Contact information
Practice address
1577 GENERAL BOOTH BLVD, #107, VIRGINIA BEACH, VA 23454-5105
(757) 428-8282
(757) 437-0415
Mailing address
1577 GENERAL BOOTH BLVD, #107, VIRGINIA BEACH, VA 23454-5105
(757) 428-8282
(757) 437-0415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410722
VA
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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