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1912066713
BLAIR WASHBURN FADEM
ESCONDIDO, CA
NPI
1912066713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 39399)
Enumeration Date
2006-12-07
Last Update Date
2013-04-16
Business Address
Dr. BLAIR WASHBURN FADEM D.D.S.
735 E OHIO AVE STE 202
ESCONDIDO, CA 92025-3437
Phone number: 760-294-7450
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Mailing Address
Dr. BLAIR WASHBURN FADEM D.D.S.
735 E OHIO AVE SUITE #202
ESCONDIDO, CA 92025-3437
Phone number: 760-294-7450
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