Gary Blaich D.d.s., P.a.
NPI #1619191251 in Coffeyville, Kansas
Provider Information
- NPI Number
- 1619191251
- Entity Type
- Organization
- Organization Name
- Gary Blaich D.d.s., P.a.
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Apr 13, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1509 W 4TH ST
- City
- Coffeyville
- State
- Kansas
- ZIP Code
- 67337-3307
- Phone
- (620) 251-0606
Authorized Official
- Name
- DR. GARY BLAICH, D.D.S.
- Title
- PRESIDENT
- Phone
- (620) 251-0604
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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