RANDALL BLAZIC, DDS MD
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1497843445
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Oral & Maxillofacial Surgery | 204E00000X | No | M31657 (AZ) |
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | Yes | D5976 (AZ) |
Frequently Asked Questions
NPI 1497843445 is the National Provider Identifier for RANDALL BLAZIC, DDS MD, a Dentist - Oral and Maxillofacial Surgery provider located in Goodyear, AZ. This NPI was enumerated on October 11, 2006.
RANDALL BLAZIC, DDS MD practices at 13980 W AVALON DR STE 120, Goodyear, AZ 85395.
Quick Facts
- NPI
- 1497843445
- Type
- Individual
- Enumerated
- Oct 11, 2006
- Last Updated
- Apr 22, 2025
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