Individual provider · Type 1 NPI

Gonzalo Blasi, DDS MS

Periodontics · Baltimore, MD

NPI number 1407396369 Active

Practice location

305 W Fayette St Apt 1412
Baltimore, MD 21201-3466

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X0401415436 (VA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1407396369

Gonzalo Blasi, DDS MS's National Provider Identifier is 1407396369, issued on Feb 26, 2017. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Baltimore, MD. The record was last updated on Feb 26, 2017.