| NPI | 1649655291 |
|---|---|
| Former Legal Business Name | STEVEN W BLUM DDS PA |
| Entity Type | Organization |
| Authorized Contact | SCOTT GUEST COO 913-645-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |