Blaine Travis Bohrer, DDS
NPI #1861674699 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1861674699
- Entity Type
- Organization
- Organization Name
- Blaine Travis Bohrer, DDS
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 4, 2007
- Last Updated
- Dec 4, 2007
Practice Location
- Address
- 1577 GENERAL BOOTH BLVD
- Address 2
- #107
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23454-5105
- Phone
- (757) 428-8282
Authorized Official
- Name
- DR. BLAINE TRAVIS BOHRER, DDS
- Title
- DENTIST
- Phone
- (757) 428-8282
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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