Organization
BLASINGAME DENTAL CORPORATION
Active
Other names
Team Perio
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE PETERS (INSURANCE BILLING COORDINATOR)
(530) 241-3302
Entity
Organization
Contact information
Practice address
4545 QUAIL LAKES DR, STOCKTON, CA 95207-5257
(530) 241-3302
Mailing address
384 HARTNELL AVE STE A, REDDING, CA 96002-1884
(530) 241-3302
(530) 241-3321
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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