Bryan Blazer, D.D.S
NPI 1851677850 · on the registry since 2011 · sole proprietor
Practice
- Address
- 77 Nealy Ave
633d Medical Group
Joint Base Langley-Eustis, VA 23665 - Phone
- (764) 225-5039
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia