Individual
DR. DAVID R BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
120 N PEARL ST, SALEM, IL 62881-1530
(618) 548-2020
Mailing address
120 N PEARL ST, SALEM, IL 62881-1530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1546-9451
BLUE CROSS
IL
Enumeration date
04/02/2007
Last updated
07/08/2007
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