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NPI 1962500538

IndividualActive

Daniel Blaho, DDS

NPI 1962500538 · Oral and Maxillofacial Surgery (Dentist) · Laurenceville, GA

Provider details

NPI number: 1962500538
Entity type: Individual
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 10001 (GA)

Practice location

171 Gwinnett Dr

Suite B

Laurenceville, GA 30045

Phone: (770) 995-7960

Fax: (770) 995-7367

More GA providers

Mailing address

171 Gwinnett Dr

Laurenceville, GA 30045

Registry dates

Enumerated: 2006-09-20
Last updated: 2007-07-08

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

Daniel Blaho, DDS — NPI 1962500538, Laurenceville, GA | NPI Central