Brent L Blaylock DDS PA
NPI #1194838755 in Durham, North Carolina
Provider Information
- NPI Number
- 1194838755
- Entity Type
- Organization
- Organization Name
- Brent L Blaylock DDS PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 17, 2006
- Last Updated
- Jul 7, 2008
Practice Location
- Address
- 3206 OLD CHAPEL HILL RD STE 300
- City
- Durham
- State
- North Carolina
- ZIP Code
- 27707-3688
- Phone
- (919) 493-8036
Authorized Official
- Name
- DR. BRENT LASHLEY BLAYLOCK, DDS
- Title
- OWNER PRESIDENT
- Phone
- (919) 493-8036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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