Organization · Type 2 NPI

Daniel R. Blazo, Dds, PLLC

Dental Clinic/Center · Dearborn, MI

NPI number 1740859867 Active

Practice location

22100 Outer Dr
Dearborn, MI 48124-3932

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

3 other providers at this address

Brian Michael Long, DDSGeneral Practice Dentistry Dearborn, MI NPI 1265503585
Daniel Blazo, D.D.SDentist Dearborn, MI NPI 1518316306
Gary Claude Veraghen, DDSDentist Dearborn, MI NPI 1306971478

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About NPI 1740859867

Daniel R. Blazo, Dds, PLLC's National Provider Identifier is 1740859867, issued on Jun 22, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Dearborn, MI. The record was last updated on Jun 22, 2021.