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Organization

DON BLAKESLEE DDS PA

Active
Other names
Blakeslee Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DON R BLAKESLEE DDS (PRESIDENT)
(763) 784-1242
Entity
Organization

Contact information

Practice address
10155 UNIVERSITY AVE NE, STE 112, BLAINE, MN 55434-8058
(763) 784-1242
Mailing address
10155 UNIVERSITY AVE NE, SUITE 112, BLAINE, MN 55434-8058
(763) 784-1214

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9018
MN

Other

Enumeration date
04/13/2007
Last updated
08/22/2020
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