CRAIG D BLAISDELL

BOISE, ID
NPI1942406715
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D4070)
Enumeration Date2007-06-26
Last Update Date2007-07-08
Business Address
DR. CRAIG D BLAISDELL D.D.S
8877 W HACKAMORE DR
BOISE, ID 83709-1671
Phone number: 208-377-9696
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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