Organization
DR. NORMAN BLUTH, DR. BARRY BLUTH, PA
Active
Other names
Bluth Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY ADAM BLUTH DMD (DENTIST)
(954) 792-3800
Entity
Organization
Contact information
Practice address
4175 SW 64TH AVE, SUITE 103, DAVIE, FL 33314-3459
(954) 792-3800
(954) 792-3377
Mailing address
4175 SW 64TH AVE, SUITE 103, DAVIE, FL 33314-3459
(954) 792-3800
(954) 792-3377
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
FL15109
FL
122300000X
Dentist
FL2848
FL
1223G0001X
General Practice Dentistry
Primary
FL12656
FL
1223P0300X
Periodontics
FL16973
FL
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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