DR. Jason Robert Di Blasi, DMD
NPI #1265507305 in Massapequa, New York
Provider Information
- NPI Number
- 1265507305
- Entity Type
- Individual
- Name
- DR. Jason Robert Di Blasi, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Nov 22, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 690 BROADWAY
- Address 2
- SUITE 1
- City
- Massapequa
- State
- New York
- ZIP Code
- 11758
- Phone
- (516) 795-5769
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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