DEVON JAMES BLOB

APPLETON, WI
NPI1568148138
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  600150815)
Enumeration Date2023-06-27
Last Update Date2024-12-20
Business Address
DEVON JAMES BLOB DDS
2563 E CALUMET ST
APPLETON, WI 54915-4748
Phone number: 920-731-6416
Mailing Address
DEVON JAMES BLOB DDS
N9305 NOE RD
APPLETON, WI 54915-5653
Phone number: