Individual
DR. BLAIR WASHBURN FADEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
735 E OHIO AVE STE 202, ESCONDIDO, CA 92025-3437
(760) 294-7450
(760) 294-7450
Mailing address
735 E OHIO AVE, SUITE #202, ESCONDIDO, CA 92025-3437
(760) 294-7450
(760) 294-7450
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
39399
CA
Other
Enumeration date
12/07/2006
Last updated
04/16/2013
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