Individual
KIMBERLY BLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3618 W ANTHEM WAY, SUITE #D-104, ANTHEM, AZ 85086-0419
(623) 935-9873
Mailing address
5016 W HOBBY HORSE DR, PHOENIX, AZ 85083-5452
(623) 266-0243
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5610
AZ
1223P0221X
Pediatric Dentistry
D-3495
ID
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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