TRAVIS D BLAICH

POPLAR BLUFF, MO
NPI1962882589
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  2015017082)
Enumeration Date2015-06-09
Last Update Date2015-06-09
Business Address
-- TRAVIS D BLAICH D.D.S.
2700 KANELL BLVD
POPLAR BLUFF, MO 63901-3041
Phone number: 573-785-0111
Mailing Address
-- TRAVIS D BLAICH D.D.S.
2700 KANELL BLVD
POPLAR BLUFF, MO 63901-3041
Phone number: 573-785-0111
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