NPI | 1194949511 |
---|---|
Doing Business As | BLAKESLEE DENTAL |
Entity Type | Organization |
Authorized Contact | DON R BLAKESLEE President 763-784-1242 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MN D9018) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2020-08-22 |