Individual
DR. DAVID JENNINGS BLONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
16 E BAYFIELD ST, WASHBURN, WI 54891-4401
(715) 373-2612
Mailing address
PO BOX 415, WASHBURN, WI 54891-0415
(715) 373-2612
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5709-015
WI
Other
Enumeration date
07/21/2006
Last updated
03/27/2019
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