DR. John David Blaisdell, D.D.S.

NPI #1669557039 in Caldwell, Idaho

Provider Information

NPI Number
1669557039
Entity Type
Individual
Name
DR. John David Blaisdell, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Oct 26, 2006
Last Updated
Jul 8, 2007

Practice Location

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

Specialties & Taxonomy Codes

Specialty
Dentist

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