Gary Blaich D.D.S., P.A.

NPI 1073587879 - Dentist - 122300000X

NPI Details
NPI 1073587879
Gender Male
Enumeration Date 02/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1509 W 4TH ST
COFFEYVILLE KS, 67337-3307, US
Phone (620) 251-0604
Fax
Business Location
1509 W 4TH ST
COFFEYVILLE KS, 67337-3307, US
Phone (620) 251-0604
Fax
Toxanomy
Taxonomy Code 122300000X
License State Kansas
License Number 6743
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According to our database, Dr. Gary Blaich D.D.S., P.A. NPI is 1073587879, taxonomy code is 122300000X and license number is 6743, license state is located at Kansas. Gary Blaich D.D.S., P.A. physically located at 1509 W 4th St, Coffeyville KS, 67337-3307. NPI Number Gary Blaich D.D.S., P.A. has the Individual type.

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1073587879 NPI number is provided on an as is basis without warranty of any kind. 1073587879 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Blaich D.D.S., P.A. are for informational purposes only.