Organization
BLAIR FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYRE MYISHA BLAIR D.D.S. (DENTIST)
(734) 255-1195
Entity
Organization
Contact information
Practice address
2500 CEDAR ST, HOLT, MI 48842-2158
(517) 694-3111
(517) 694-9202
Mailing address
2500 CEDAR ST, HOLT, MI 48842-2158
(517) 694-3111
(517) 694-9202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019997
MI
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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