Travis D Blaich, D.D.S.

NPI #1962882589 in Poplar Bluff, Missouri

Provider Information

NPI Number
1962882589
Entity Type
Individual
Name
Travis D Blaich, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jun 9, 2015
Last Updated
Jun 9, 2015

Practice Location

Address
2700 KANELL BLVD
ZIP Code
63901-3041
Phone
(573) 785-0111

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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