Justice Blazer Dre, LLC

NPI #1093411639 in Lexington, Kentucky

Provider Information

NPI Number: 1093411639
Entity Type: Organization
Organization Name: Justice Blazer Dre, LLC
Primary Specialty: Dentist
Enumeration Date: Feb 6, 2023
Last Updated: Feb 6, 2023

Practice Location

Address: 3285 BLAZER PKWY STE 200
City: Lexington
State: Kentucky
ZIP Code: 40509-2119
Phone: (859) 543-0700

Authorized Official

Name: GREG WHITE, DDS
Title: CEO
Phone: (859) 533-1109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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