| Blakeslee Dental | |
|
10155 University Ave Ne Ste 112 Blaine MN 55434-8058 | |
| (763) 784-1242 | |
| Not Available |
| Full Name | Blakeslee Dental |
|---|---|
| Speciality | Dentist |
| Location | 10155 University Ave Ne, Blaine, Minnesota |
| Authorized Official Name and Position | Don R Blakeslee (PRESIDENT) |
| Authorized Official Contact | 7637841242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blakeslee Dental 10155 University Ave Ne Suite 112 Blaine MN 55434-8058 Ph: (763) 784-1214 | Blakeslee Dental 10155 University Ave Ne Ste 112 Blaine MN 55434-8058 Ph: (763) 784-1242 |
| NPI Number | 1194949511 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194949511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D9018 (Minnesota) | Primary |
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