Individual
DR. DE'LESHEA L BLISSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
700 19TH ST S, VA MEDICAL CENTER, DENTAL SERVICES (160), BIRMINGHAM, AL 35233-1927
(205) 933-4504
Mailing address
700 19TH ST S, VA MEDICAL CENTER, DENTAL SERVICES (160), BIRMINGHAM, AL 35233-1927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015213
GA
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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