Individual
JONATHAN BLINSTRUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2240 E. WINROW AVE, US ARMY DENTAL ACTIVITY, FORT HUACHUCA, AZ 85613-7040
(520) 533-3144
Mailing address
2240 E. WINROW AVE, US ARMY DENTAL ACTIVITY, FORT HUACHUCA, AZ 85613-7040
(520) 533-3144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
63612
CA
Other
Enumeration date
08/05/2014
Last updated
07/20/2016
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