Individual
AUSTIN JOHN BLANKESPOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1302 10TH STREEET, ROCK VALLEY, IA 51247
(712) 476-2749
Mailing address
2478 300TH ST, ROCK VALLEY, IA 51247
(712) 578-9709
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-10093
IA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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