DR. Lynn Reed Blaisdell, DDS

NPI #1649208901 in Boise, Idaho

Provider Information

NPI Number: 1649208901
Entity Type: Individual
Name: DR. Lynn Reed Blaisdell, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 8877 W HACKAMORE DR
City: Boise
State: Idaho
ZIP Code: 83709-1671
Phone: (208) 377-9696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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