Individual provider · Type 1 NPI

Justin Edward Blazejewski, DMD

Student in an Organized Health Care Education/Training Program · Las Vegas, NV

NPI number 1154996700 Active

Practice location

1860 E Charleston Blvd
Las Vegas, NV 89104-1949

Call (702) 779-3668 Map

Mailing address

2250 S Rancho Dr Ste 205
Las Vegas, NV 89102-4456

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154996700

Justin Edward Blazejewski, DMD's National Provider Identifier is 1154996700, issued on May 26, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Vegas, NV. The record was last updated on May 26, 2021.