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1326151978
BRENT LASHLEY BLAYLOCK
DURHAM, NC
NPI
1326151978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 4970)
Enumeration Date
2006-08-17
Last Update Date
2007-07-08
Business Address
Dr. BRENT LASHLEY BLAYLOCK DDS
3206 OLD CHAPEL HILL RD STE 300
DURHAM, NC 27707-3688
Phone number: 919-493-8036
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Mailing Address
Dr. BRENT LASHLEY BLAYLOCK DDS
3206 OLD CHAPEL HILL RD STE 300
DURHAM, NC 27707-3688
Phone number: 919-493-8036
Copy
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