# DR. LARUE ANTOINE BLUTH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1396961157
- **Gender:** Man
- **Credential:** D.M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 46364 | CA | — |
| 1223E0200X | Endodontics | D4267 | ID | Yes |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 11/09/2009
