Individual
DR. CARL ALIUS BLADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
808 AVENUE C, WEST POINT, GA 31833-1641
(706) 643-7731
(706) 643-5668
Mailing address
PO BOX 796, WEST POINT, GA 31833-0796
(706) 643-7731
(706) 643-5668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10114
GA
Other
Enumeration date
08/13/2006
Last updated
07/09/2007
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