DR. Blair John Tudor III, D.M.D.

NPI #1215114467 in Medford, Oregon

Provider Information

NPI Number: 1215114467
Entity Type: Individual
Name: DR. Blair John Tudor III, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jan 29, 2008
Last Updated: Jan 29, 2008

Practice Location

Address: 670 SUPERIOR CT
Address 2: SUITE 101
City: Medford
State: Oregon
ZIP Code: 97504-6174
Phone: (541) 779-6170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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