BLAINE TRAVIS BOHRER

VIRGINIA BEACH, VA
NPI1285779827
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401410722)
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
Dr. BLAINE TRAVIS BOHRER DDS
1577 GENERAL BOOTH BLVD 107
VIRGINIA BEACH, VA 23454-5105
Phone number: 757-428-8282
Mailing Address
Dr. BLAINE TRAVIS BOHRER DDS
2664 LEVEL LOOP RD
VIRGINIA BEACH, VA 23456-6716
Phone number: 757-689-8809