JOHN DAVID BLAISDELL

CALDWELL, ID
NPI1669557039
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D-1741)
Enumeration Date2006-10-26
Last Update Date2007-07-08
Business Address
Dr. JOHN DAVID BLAISDELL D.D.S.
1916 ELLIS AVE
CALDWELL, ID 83605-4811
Phone number: 208-459-2376
Mailing Address
Dr. JOHN DAVID BLAISDELL D.D.S.
1916 ELLIS AVE
CALDWELL, ID 83605-4811
Phone number: 208-459-2376
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