Carol M. Blossfeld, D.d.s.

NPI #1306010269 in Edmond, Oklahoma

Provider Information

NPI Number: 1306010269
Entity Type: Organization
Organization Name: Carol M. Blossfeld, D.d.s.
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 22, 2008
Last Updated: Apr 22, 2008

Practice Location

Address: 3201 E MEMORIAL RD
Address 2: SUITE A
City: Edmond
State: Oklahoma
ZIP Code: 73013-7104
Phone: (405) 475-9221

Authorized Official

Name: DR. CAROL M BLOSSFELD
Title: DENTIST/OWNER
Phone: (405) 475-9221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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