Most Relevant Information
Provider Data
| NPI Number: | 1003818667 |
| Provider Name: | BRUCE B BLAU DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 039110 |
Most Important Dates
| Enumeration Date: | 08/12/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
121 E 60TH ST
NEW YORK
NY
100221117
Practice Location Phone/Fax
| Phone: | 2128886311 |
| Fax: | 2123198388 |
Provider Mailing Location
121 E 60TH ST
NEW YORK
NY
100221117
Provider Mailing Phone/Fax
| Phone: | 2128886311 |
| Fax: | 2123198388 |