Dr. Taylor Bladh, O.d., INC

NPI #1700951217 in Diamond Bar, California

Provider Information

NPI Number: 1700951217
Entity Type: Organization
Organization Name: Dr. Taylor Bladh, O.d., INC
Primary Specialty: Optometrist
Enumeration Date: Nov 21, 2006
Last Updated: Jul 3, 2012

Practice Location

Address: 718 N. DIAMOND BAR BLVD
City: Diamond Bar
State: California
ZIP Code: 91765-4122
Phone: (909) 861-3737

Authorized Official

Name: DR. TAYLOR WOODBURY BLADH, O.D.
Title: PRESIDENT/ OPTOMETRIST
Phone: (909) 861-3737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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