Organization
CRAIG D. BLAISDELL, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG BLAISDELL D.D.S (OWNER)
(208) 377-9696
Entity
Organization
Contact information
Practice address
8877 W HACKAMORE DR, BOISE, ID 83709-1671
(208) 377-9696
(208) 377-9698
Mailing address
8877 W HACKAMORE DR, BOISE, ID 83709-1671
(208) 377-9696
(208) 377-9698
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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