NPI Index

DR. BRYAN BLAZER, D.D.S.

Dentist

Active Individual
NPI: 1851677850

Practice Address

77 NEALY AVE
633D MEDICAL GROUP
Joint Base Langley-eustis, VA 23665

Phone: (764) 225-5039

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 019.028688 (IL)

Frequently Asked Questions

NPI 1851677850 is the National Provider Identifier for DR. BRYAN BLAZER, D.D.S., a Dentist provider located in Joint Base Langley-eustis, VA. This NPI was enumerated on October 24, 2011.
DR. BRYAN BLAZER, D.D.S. practices at 77 NEALY AVE, 633D MEDICAL GROUP, Joint Base Langley-eustis, VA 23665.

Quick Facts

NPI
1851677850
Type
Individual
Enumerated
Oct 24, 2011
Last Updated
Oct 24, 2011

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