Blaine A Hammond DMD

NPI 1295021632 - Dentist - 1223G0001X

NPI Details
NPI 1295021632
Gender Male
Enumeration Date 06/23/2011
Last Updated 06/23/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
640 S WOODRUFF AVE
IDAHO FALLS ID, 83401-5299, US
Phone (208) 523-5400
Fax (208) 528-0565
Business Location
640 S WOODRUFF AVE
IDAHO FALLS ID, 83401-5299, US
Phone (208) 523-5400
Fax (208) 528-0565
Toxanomy
Taxonomy Code 1223G0001X
License State Idaho
License Number D4369
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According to our database, Blaine A Hammond DMD NPI is 1295021632, taxonomy code is 1223G0001X and license number is D4369, license state is located at Idaho. Blaine A Hammond DMD physically located at 640 S Woodruff Ave, Idaho Falls ID, 83401-5299. NPI Number Blaine A Hammond DMD has the Individual type.

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1295021632 NPI number is provided on an as is basis without warranty of any kind. 1295021632 is maintained by the National Plan & Provider Enumeration System. The contents of Blaine A Hammond DMD are for informational purposes only.