Kris M Blodgett, DMD

NPI #1073686663 in Sisters, Oregon

Provider Information

NPI Number
1073686663
Entity Type
Individual
Name
Kris M Blodgett, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Nov 15, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
354 W ADAMS ST
State
Oregon
ZIP Code
97759-0901
Phone
(541) 549-0973

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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