BRYAN RICHARD BLAZER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028688

License Status

ACTIVE

Business

Title

DDS

First Name

BRYAN

Middle

RICHARD

Last Name

BLAZER

Business Name

BRYAN RICHARD BLAZER DDS

Original Issue Date

06/23/2011

Effective Date

07/01/2024

Expiration Date

09/30/2027

City

SOUTH LYON

State

Zip

48178

Ever Disciplined

LastModifiedDate

01/17/2025