Individual
RENAE DAWN BLOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4366 270TH ST E, MEDFORD, MN 55049-8001
(507) 475-0628
(507) 446-1098
Mailing address
4366 270TH ST E, PO BOX 237, MEDFORD, MN 55049-8001
(507) 475-0628
(507) 446-1098
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6616
MN
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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