KRIS M BLODGETT

SISTERS, OR
NPI1073686663
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D8230)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
-- KRIS M BLODGETT DMD
354 W ADAMS ST
SISTERS, OR 97759-0901
Phone number: 541-549-0973
Mailing Address
-- KRIS M BLODGETT DMD
PO BOX 901 354 W ADAMS STREET
SISTERS, OR 97759-0901
Phone number: 541-549-0973
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