Individual
JILL BLEYTHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1 SOUTHTOWNE DR, POTOSI, MO 63664-5729
(573) 438-9355
(573) 438-7892
Mailing address
PO BOX 761, POTOSI, MO 63664-0761
(573) 438-9355
(573) 438-7892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2019022666
MO
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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