Individual
REGINA LYNN BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
3100 WOODBURY DR, WOODBURY, MN 55129-9600
(651) 714-4987
(651) 730-0415
Mailing address
1133 93RD ST E, INVER GROVE HEIGHTS, MN 55077-4217
(651) 451-3551
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10244
MN
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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