DR. Marisa C Blickhan, DMD
NPI #1952143968 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1952143968
- Entity Type
- Individual
- Name
- DR. Marisa C Blickhan, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Jun 10, 2024
- Last Updated
- Jun 10, 2024
Practice Location
- Address
- 1427 LEWIS RD
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-4148
- Phone
- (618) 207-4871
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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