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DR. TEDDY ROGER BLAND DMD, MS

>> Dentist >> Dental Providers

Registrant NPI Number: 1003008723

Individual Registrant:
DR. TEDDY ROGER BLAND DMD, MS
Gender: M
Sole Proprietor

Location and contact information for practice:
1340 E ORANGE AVE  EUSTIS, FL 32726-4343 US
Tel: 352-735-2005  Fax: --

Contact information for business:
1340 E ORANGE AVE  EUSTIS, FL 32726-4343 US
Tel: 352-735-2005  Fax: --

Registration Information:
NPI: 1003008723
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
FLDN 17164

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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