John P Blazic DDS INC

NPI #1407152705 in Fairfield, Ohio

Provider Information

NPI Number
1407152705
Entity Type
Organization
Organization Name
John P Blazic DDS INC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Feb 3, 2011
Last Updated
Feb 3, 2011

Practice Location

Address
1251 NILLES ROAD
Address 2
SUITE 12
State
Ohio
ZIP Code
45014-7205
Phone
(513) 829-4111

Authorized Official

Name
DR. JOHN P BLAZIC, DDS
Title
OWNER
Phone
(513) 829-4111

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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