Individual
DR. BLAINE DEE SYMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1224 HARMONY LN, WHITE BIRD, ID 83554-0079
(208) 839-2640
Mailing address
1224 HARMONY LN, WHITE BIRD, ID 83554-0079
(208) 839-2640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3683
ID
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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