Individual
DR. CASSIDY RYAN BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1301 N EPHRATA AVE, CONNELL, WA 99326-9601
(509) 543-5800
Mailing address
1301 N EPHRATA AVE, CONNELL, WA 99326-9601
(509) 543-5800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60615475
WA
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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