Paul E Blaisdell, DDS Valid NPI
Individual provider · General Practice Dentistry · Kuna, ID
- NPI
- 1306337100
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- D-4925 (ID)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-05-29
- Last updated
- 2018-05-29
Practice location
1621 N Linder Rd
Kuna, ID 83634-3032
(208) 922-5111