Individual
DR. LYNN REED BLAISDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8877 W HACKAMORE DR, BOISE, ID 83709-1671
(208) 377-9696
Mailing address
5170 DECATUR DR, BOISE, ID 83704-2225
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1697
ID
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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