DR. Teddy Roger Bland JR., DMD, MS

NPI #1003008723 in Eustis, Florida

Provider Information

NPI Number: 1003008723
Entity Type: Individual
Name: DR. Teddy Roger Bland JR., DMD, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD, MS
Enumeration Date: Aug 16, 2007
Last Updated: Mar 31, 2008

Practice Location

Address: 1340 E ORANGE AVE
City: Eustis
State: Florida
ZIP Code: 32726-4343
Phone: (352) 735-2005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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