| NPI | 1811060106 |
|---|---|
| Professional Name | DEBORRAH J NORDBLOM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D10159) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN D10101) |
| 124Q00000X Dental Hygienist (Licence: MN H5638) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |