Provider Demographics
NPI:1518119189
Name:BLAIR, WARREN HUGO (DDS; MSD)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:HUGO
Last Name:BLAIR
Suffix:
Gender:M
Credentials:DDS; MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALWER STRASSE 28
Mailing Address - Street 2:
Mailing Address - City:STUTTGART
Mailing Address - State:BW
Mailing Address - Zip Code:70173
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CALWER STRASSE 28
Practice Address - Street 2:
Practice Address - City:STUTTGART
Practice Address - State:BW
Practice Address - Zip Code:70173
Practice Address - Country:DE
Practice Address - Phone:49711-305-8856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ477831223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics