Individual
DR. PETER MICHAEL BLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1111 9TH ST, SUITE 190, DES MOINES, IA 50314-2527
(515) 244-9136
Mailing address
1111 9TH ST, SUITE 190, DES MOINES, IA 50314-2527
(515) 244-9136
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7114-15
WI
122300000X
Dentist
Primary
DDS-09131
IA
Other
Enumeration date
06/14/2013
Last updated
11/06/2014
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