Individual
DR. REBECCA LYNN BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1680 OLD SPANISH TRAIL, SLIDELL, LA 70458
(985) 643-0304
Mailing address
1680 OLD SPANISH TRAIL, SLIDELL, LA 70458
(985) 643-0304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5784
LA
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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