Individual
DENNIS BLASIELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1015 LIGONIER ST, LATROBE, PA 15650
(724) 539-2528
Mailing address
1015 LIGONIER ST, LATROBE, PA 15650
(724) 539-2528
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS018934L
PA
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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