DR. Blake J Edinger, D.D.S.

NPI #1750376968 in Lakewood, Wisconsin

Provider Information

NPI Number
1750376968
Entity Type
Individual
Name
DR. Blake J Edinger, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Sep 14, 2005
Last Updated
Oct 28, 2018

Practice Location

Address
15397 STATE HIGHWAY 32
ZIP Code
54138
Phone
(715) 276-6321

Specialties & Taxonomy Codes

Specialty
Dentist

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