Blake Bufford
Dentist in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1710463542
StatusActive
Last updated in NPPESJul 16, 2018
Details
- NPI
- 1710463542
- Entity type
- Individual (NPI-1)
- Name
- Blake Bufford
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 16, 2018
- Last updated
- Jul 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2901022653 | MI | Yes |
Practice location
1011 N University AveAnn Arbor, MI 48109-1078
Phone 734-763-3326
Mailing address
1011 N University AveAnn Arbor, MI 48109-1078
Phone 734-763-3326
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