Thomas Lagrand Blaisdell, D.D.S.

NPI #1437356029 in Caldwell, Idaho

Provider Information

NPI Number: 1437356029
Entity Type: Individual
Name: Thomas Lagrand Blaisdell, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1916 ELLIS AVE
City: Caldwell
State: Idaho
ZIP Code: 83605-4811
Phone: (208) 459-2376

Specialties & Taxonomy Codes

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

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