KENNETH A BLAIS

SHREVEPORT, LA
NPI1871704189
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2007-05-25
Last Update Date2008-05-28
Business Address
-- KENNETH A BLAIS M.D.
1501 KINGS HWY DEPARTMENT OF ORAL & MAXILLARY SURGERY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-7737
Mailing Address
-- KENNETH A BLAIS M.D.
1501 KINGS HWY DEPARTMENT OF ORAL & MAXILLARY SURGERY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-7737
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