Charles Gibson Blair D.D.S.

NPI 1811040488 - Dentist - 1223G0001X

NPI Details
NPI 1811040488
Gender Male
Enumeration Date 01/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1641 W GLENDALE AVE
SUITE B
PHOENIX AZ, 85021-8878, US
Phone (602) 242-8505
Fax
Business Location
1641 W GLENDALE AVE
SUITE B
PHOENIX AZ, 85021-8878, US
Phone (602) 242-8505
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Arizona
License Number 1763
Remove 1811040488 NPI Number
 

According to our database, Dr. Charles Gibson Blair D.D.S. NPI is 1811040488, taxonomy code is 1223G0001X and license number is 1763, license state is located at Arizona. Charles Gibson Blair D.D.S. physically located at 1641 W Glendale Ave, Phoenix AZ, 85021-8878. NPI Number Charles Gibson Blair D.D.S. has the Individual type.

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1811040488 NPI number is provided on an as is basis without warranty of any kind. 1811040488 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Gibson Blair D.D.S. are for informational purposes only.