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Individual

LEO J BLAIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
157 E 32ND ST BSMT B, NEW YORK, NY 10016
(347) 772-8387
Mailing address
157 E 32ND ST BSMT B, NEW YORK, NY 10016-6028
(347) 772-8387

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
059251
NY

Other

Enumeration date
02/27/2016
Last updated
05/23/2019
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