DR. Shineille Blair, DDS

NPI #1073290185 in Fayetteville, Georgia

Provider Information

NPI Number: 1073290185
Entity Type: Individual
Name: DR. Shineille Blair, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 30, 2023
Last Updated: Jun 30, 2023

Practice Location

Address: 719 LANIER AVE W
City: Fayetteville
State: Georgia
ZIP Code: 30214-7634
Phone: (770) 615-0999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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