KELLY JOHN BLODGETT

PORTLAND, OR
NPI1588796999
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D7669)
Enumeration Date2007-03-12
Last Update Date2007-07-08
Business Address
-- KELLY JOHN BLODGETT DMD
522 SE BELMONT ST
PORTLAND, OR 97214
Phone number: 503-285-3620
Mailing Address
-- KELLY JOHN BLODGETT DMD
522 SE BELMONT ST
PORTLAND, OR 97214
Phone number: 503-285-3620
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