Organization
TEAM PERIO, INC., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BLASINGAME DDS, MS (PRESIDENT/OWNER/PERIODONTIST)
(530) 241-3302
Entity
Organization
Contact information
Practice address
855 W 7TH ST STE 130, RENO, NV 89503-2706
(775) 447-1191
Mailing address
855 W 7TH ST STE 130, RENO, NV 89503-2706
(775) 447-1191
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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