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1942406715
CRAIG D BLAISDELL
BOISE, ID
NPI
1942406715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D4070)
Enumeration Date
2007-06-26
Last Update Date
2007-07-08
Business Address
Dr. CRAIG D BLAISDELL D.D.S
8877 W HACKAMORE DR
BOISE, ID 83709-1671
Phone number: 208-377-9696
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Mailing Address
Dr. CRAIG D BLAISDELL D.D.S
935 W ASHBY DR
MERIDIAN, ID 83642-5696
Phone number: 208-888-1677
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