Whalio Doctors

NPI 1003976994

Michael P Blum, DDS

Practitioner Oral and Maxillofacial Surgery (Dentist) Anaheim, CA

Practice location

Address
1211 W La Palma Ave Suite 604, Anaheim, CA 92801-2815
Phone
(714) 772-2200
Fax
(714) 520-0969

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary
Dental Providers Taxonomy 1223S0112X Licence D25236 (CA)

Registry record

NPI
1003976994
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Dec 2006
Record last updated
21 Nov 2011

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.