William J. Blaumer

NPI #1750526893 in Salem, Oregon

Provider Information

NPI Number: 1750526893
Entity Type: Organization
Organization Name: William J. Blaumer
Primary Specialty: Dentist
Enumeration Date: Dec 3, 2008
Last Updated: Dec 3, 2008

Practice Location

Address: 1355 EDGEWATER ST NW
City: Salem
State: Oregon
ZIP Code: 97304-4077
Phone: (503) 588-6960

Authorized Official

Name: MRS. DEANA JEANINE BALLARD
Title: OFFICE MANAGER
Phone: (503) 588-6960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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