John G Blazic DDS INC

NPI #1205000213 in Plainfield, Indiana

Provider Information

NPI Number: 1205000213
Entity Type: Organization
Organization Name: John G Blazic DDS INC
Primary Specialty: Dentist
Enumeration Date: Apr 22, 2008
Last Updated: Apr 22, 2008

Practice Location

Address: 1655 HAWTHORNE DR
Address 2: SUITE F & G
City: Plainfield
State: Indiana
ZIP Code: 46168-1895
Phone: (317) 839-4604

Authorized Official

Name: DONNA BARCUS
Title: OFFICE MANAGER
Phone: (317) 839-4604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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