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Individual

DR. BLAYNE MILLER DOWNS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
6401 S INNOVATION AVE, SPRINGFIELD, MO 65804-5327
(417) 889-4746
Mailing address
6401 S INNOVATION AVE, SPRINGFIELD, MO 65804-5327

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2023021020
MO

Other

Enumeration date
06/06/2023
Last updated
06/06/2023
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