Individual
DR. CRAIG D BLAISDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
8877 W HACKAMORE DR, BOISE, ID 83709-1671
(208) 377-9696
(208) 377-9698
Mailing address
8877 W HACKAMORE DR, BOISE, ID 83709-1671
(208) 377-9696
(208) 377-9698
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4070
ID
Other
Enumeration date
06/26/2007
Last updated
11/04/2025
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