DR. Joseph A. Blaes, DDS

NPI #1679740567 in Fenton, Missouri

Provider Information

NPI Number: 1679740567
Entity Type: Individual
Name: DR. Joseph A. Blaes, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 11, 2008
Last Updated: May 11, 2008

Practice Location

Address: 1736 GILSINN LN
City: Fenton
State: Missouri
ZIP Code: 63026-2004
Phone: (636) 343-6808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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