N BRUCE BLAUM DMD MAGD LLC

FAIRHOPE, AL
NPI1316217649
Entity TypeOrganization
Authorized ContactNORMAN B BLAUM
Member
251-232-1083
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: AL  4072)
Additional Taxonomies332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
Enumeration Date2012-01-03
Last Update Date2012-08-14
Business Address
N BRUCE BLAUM DMD MAGD LLC
8076 SPRING RUN DR
FAIRHOPE, AL 36532-3854
Phone number: 251-232-1083
Mailing Address
N BRUCE BLAUM DMD MAGD LLC
PO BOX 1027
MONTROSE, AL 36559-1027
Phone number: 251-232-1083