Regina Lynn Blevins DDS MS

NPI 1114080777 - Dentist - 1223X0400X

NPI Details
NPI 1114080777
Gender Female
Enumeration Date 12/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3100 WOODBURY DR
WOODBURY MN, 55129-9600, US
Phone (651) 714-4987
Fax (651) 730-0415
Business Location
1133 93RD ST E
INVER GROVE HEIGHTS MN, 55077-4217, US
Phone (651) 451-3551
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State Minnesota
License Number 10244
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According to our database, Regina Lynn Blevins DDS MS NPI is 1114080777, taxonomy code is 1223X0400X and license number is 10244, license state is located at Minnesota. Regina Lynn Blevins DDS MS physically located at 3100 Woodbury Dr, Woodbury MN, 55129-9600. NPI Number Regina Lynn Blevins DDS MS has the Individual type.

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1114080777 NPI number is provided on an as is basis without warranty of any kind. 1114080777 is maintained by the National Plan & Provider Enumeration System. The contents of Regina Lynn Blevins DDS MS are for informational purposes only.