John G Blazic Dds Inc | |
1655 Hawthorne Dr Suite F & G Plainfield IN 46168-1895 | |
(317) 839-4604 | |
(317) 837-2436 |
Full Name | John G Blazic Dds Inc |
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Speciality | Dentist |
Location | 1655 Hawthorne Dr, Plainfield, Indiana |
Authorized Official Name and Position | Donna Barcus (OFFICE MANAGER) |
Authorized Official Contact | 3178394604 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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John G Blazic Dds Inc 1655 Hawthorne Dr Suite F & G Plainfield IN 46168-1895 Ph: (317) 839-4604 | John G Blazic Dds Inc 1655 Hawthorne Dr Suite F & G Plainfield IN 46168-1895 Ph: (317) 839-4604 |
NPI Number | 1205000213 |
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Provider Enumeration Date | 04/22/2008 |
Last Update Date | 04/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205000213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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