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1285779827
BLAINE TRAVIS BOHRER
VIRGINIA BEACH, VA
NPI
1285779827
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401410722)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
Dr. BLAINE TRAVIS BOHRER DDS
1577 GENERAL BOOTH BLVD 107
VIRGINIA BEACH, VA 23454-5105
Phone number: 757-428-8282
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Mailing Address
Dr. BLAINE TRAVIS BOHRER DDS
2664 LEVEL LOOP RD
VIRGINIA BEACH, VA 23456-6716
Phone number: 757-689-8809
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