MARISA C BLICKHAN

EDWARDSVILLE, IL
NPI1952143968
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019.035173)
Enumeration Date2024-06-10
Last Update Date2024-06-10
Business Address
Dr. MARISA C BLICKHAN DMD
1427 LEWIS RD
EDWARDSVILLE, IL 62025-4148
Phone number: 618-207-4871
Mailing Address
Dr. MARISA C BLICKHAN DMD
1610 SHURTLEFF CT
ALTON, IL 62002-4067
Phone number: