Paul E Blaisdell DDS Pllc

NPI #1164210126 in Kuna, Idaho

Provider Information

NPI Number
1164210126
Entity Type
Organization
Organization Name
Paul E Blaisdell DDS Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 29, 2025
Last Updated
Apr 29, 2025

Practice Location

Address
1621 N LINDER RD
City
Kuna
State
Idaho
ZIP Code
83634-3032
Phone
(208) 922-5111

Authorized Official

Name
DR. PAUL BLAISDELL, DDS
Title
OWNER/GENERAL DENTIST
Phone
(208) 922-5111

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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