Most Relevant Information
Provider Data
| NPI Number: | 1003008723 |
| Provider Name: | TEDDY ROGER BLAND DMD, MS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | DN 17164 |
Most Important Dates
| Enumeration Date: | 08/16/2007 |
| Last Updated: | 03/31/2008 |
Provider Practice Location
1340 E ORANGE AVE
EUSTIS
FL
327264343
Practice Location Phone/Fax
| Phone: | 3527352005 |
| Fax: |
Provider Mailing Location
1340 E ORANGE AVE
EUSTIS
FL
327264343
Provider Mailing Phone/Fax
| Phone: | 3527352005 |
| Fax: |