Individual
GEOFFREY W BLATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 E OAK ST, LEBANON, OR 97355-4135
(541) 451-1176
(541) 451-1424
Mailing address
100 E OAK ST, LEBANON, OR 97355-4135
(541) 451-1176
(541) 451-1424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9925
OR
Other
Enumeration date
08/01/2013
Last updated
11/08/2023
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