-- THOMAS LAGRAND BLAISDELL -- D.D.S.
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1437356029- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.D.S.
- Status
- Active
Contact & Location
- Address
- 1916 ELLIS AVE, CALDWELL, ID, 836054811
- Phone
- (208) 459-2376
- Fax
- (208) 459-1524
Specialties & Taxonomies
Dentist, General Practice
Primary License: ID #D4079