THOMAS LAGRAND BLAISDELL

CALDWELL, ID
NPI1437356029
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D4079)
Enumeration Date2007-06-28
Last Update Date2007-07-08
Business Address
-- THOMAS LAGRAND BLAISDELL D.D.S.
1916 ELLIS AVE
CALDWELL, ID 83605-4811
Phone number: 208-459-2376
Mailing Address
-- THOMAS LAGRAND BLAISDELL D.D.S.
416 LARKSPUR CT
CALDWELL, ID 83605-6294
Phone number: 208-402-4302
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