NPI 1003008723

Teddy Roger Bland, DMDMS

Practitioner Dentist Eustis, FL

Practice location

Address: 1340 E Orange Ave, Eustis, FL 32726-4343
Phone: (352) 735-2005

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DN 17164 (FL)

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Registry record

NPI: 1003008723
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2007
Record last updated: 31 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.