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1205000213
JOHN G BLAZIC DDS INC
PLAINFIELD, IN
NPI
1205000213
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Entity Type
Organization
Authorized Contact
DONNA BARCUS
Office Manager
317-839-4604
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2008-04-22
Last Update Date
2008-04-22
Business Address
JOHN G BLAZIC DDS INC
1655 HAWTHORNE DR SUITE F & G
PLAINFIELD, IN 46168-1895
Phone number: 317-839-4604
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Mailing Address
JOHN G BLAZIC DDS INC
1655 HAWTHORNE DR SUITE F & G
PLAINFIELD, IN 46168-1895
Phone number: 317-839-4604
Copy
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