Individual
DR. COLE MATTHEW BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2800 4TH ST SW STE 1, MASON CITY, IA 50401-1596
(641) 424-8062
Mailing address
2800 4TH ST SW STE 1, MASON CITY, IA 50401-1596
(262) 825-7234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-10010
IA
Other
Enumeration date
06/27/2022
Last updated
07/01/2022
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