Individual
DEBORAH BLAUVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, LAP
Contact information
Practice address
235 ROCKY MEADOWS LOOP, KALISPELL, MT 59901-7916
(406) 871-5129
Mailing address
235 ROCKY MEADOWS LOOP, KALISPELL, MT 59901-7916
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1169
MT
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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