RANDALL J BLAZIC DDS MD
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1497843445- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS MD
- Status
- Active
Contact & Location
- Address
- 13980 W AVALON DR STE 120, GOODYEAR, AZ, 853951404
- Phone
- (623) 935-5774
- Fax
- (623) 935-6524
Specialties & Taxonomies
Oral & Maxillofacial Surgery
License: AZ #M31657
Dentist, Oral and Maxillofacial Surgery
Primary License: AZ #D5976