DR. Randall Parley Blair, DMD

NPI #1659546174 in Meridian, Idaho

Provider Information

NPI Number
1659546174
Entity Type
Individual
Name
DR. Randall Parley Blair, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Pediatric Dentistry
Credential
DMD
Enumeration Date
Apr 25, 2008
Last Updated
Feb 9, 2021

Practice Location

Address
37 W ARCHERFIELD ST STE 100
State
Idaho
ZIP Code
83646-6587
Phone
(208) 938-9958

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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