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NPI 1407396369

IndividualActive

Gonzalo Blasi, DDS MS

NPI 1407396369 · Periodontics · Baltimore, MD

Provider details

NPI number: 1407396369
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Credential: DDS MS
Sex: Male
Sole proprietor: Yes
License: 0401415436 (VA)

Practice location

305 W Fayette St Apt 1412

Baltimore, MD 21201-3466

Phone: (443) 980-8835

More MD providers

Mailing address

305 W Fayette St Apt 1412

Baltimore, MD 21201-3466

Registry dates

Enumerated: 2017-02-26
Last updated: 2017-02-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Gonzalo Blasi, DDS MS — NPI 1407396369, Baltimore, MD | NPI Central