Individual
DR. LON E BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6540 EMERALD ST, SUITE 102, BOISE, ID 83704
(208) 376-2891
(208) 376-2895
Mailing address
6540 EMERALD ST, SUITE 102, BOISE, ID 83704
(208) 376-2891
(208) 376-2895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1740
ID
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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