Individual
ALYSSA L BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
295 W VALENCIA RD, TUCSON, AZ 85706-7046
(520) 573-1777
Mailing address
4545 W BEARDSLEY RD APT 2041, GLENDALE, AZ 85308-5077
(903) 343-3102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012255
AZ
Other
Enumeration date
05/14/2024
Last updated
07/05/2024
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