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Organization

TREVOR C. BLATTNER, DDS, PC

Active
Other names
Blattner Endodontic Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TREVOR C BLATTNER D.D.S., MS (OWNER)
(573) 979-0040
Entity
Organization

Contact information

Practice address
1345 N MOUNT AUBURN RD STE B, CAPE GIRARDEAU, MO 63701-1727
(573) 803-2501
Mailing address
1345 N MOUNT AUBURN RD STE B, CAPE GIRARDEAU, MO 63701-1727
(573) 803-2501

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2010016312
MO

Other

Enumeration date
07/05/2013
Last updated
07/05/2013
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