BLAINE A HAMMOND

IDAHO FALLS, ID
NPI1295021632
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D4369)
Enumeration Date2011-06-23
Last Update Date2011-06-23
Business Address
-- BLAINE A HAMMOND DMD
640 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5299
Phone number: 208-523-5400
Mailing Address
-- BLAINE A HAMMOND DMD
640 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5299
Phone number: 208-523-5400
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