BLAIRE ALLYN ERSTENIUK

EDMOND, OK
NPI1962726851
Professional NameBLAIRE BOWERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OK  6184)
Additional Taxonomies1223P0300X Dentist, Periodontics
(Licence: OK  6184)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2010-03-21
Last Update Date2021-01-06
Business Address
BLAIRE ALLYN ERSTENIUK DDS MS
609 S KELLY AVE STE A1
EDMOND, OK 73003-5696
Phone number: 405-509-8932
Mailing Address
BLAIRE ALLYN ERSTENIUK DDS MS
609 S KELLY AVE STE A1
EDMOND, OK 73003-5696
Phone number: 405-509-8932