Individual
KATHERINE BLUBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3408 FAIRLAWN DR, MINNETONKA, MN 55345-1217
(612) 834-5283
Mailing address
3408 FAIRLAWN DR, MINNETONKA, MN 55345-1217
(612) 834-5283
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11836
MN
1223G0001X
General Practice Dentistry
Primary
11836
MN
Other
Enumeration date
08/15/2007
Last updated
08/29/2016
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