Vladimir Blustin DDS

NPI 1053510677 - Dentist - 122300000X

NPI Details
NPI 1053510677
Gender Male
Enumeration Date 07/13/2007
Last Updated 07/13/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1916 AVENUE K
BROOKLYN NY, 11230-4960, US
Phone (718) 692-0729
Fax
Business Location
2475 W 16TH ST APT 7J
BROOKLYN NY, 11214-7044, US
Phone (718) 946-0377
Fax
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 39705
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According to our database, Dr. Vladimir Blustin DDS NPI is 1053510677, taxonomy code is 122300000X and license number is 39705, license state is located at New York. Vladimir Blustin DDS physically located at 1916 Avenue K, Brooklyn NY, 11230-4960. NPI Number Vladimir Blustin DDS has the Individual type.

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1053510677 NPI number is provided on an as is basis without warranty of any kind. 1053510677 is maintained by the National Plan & Provider Enumeration System. The contents of Vladimir Blustin DDS are for informational purposes only.