Ellen Blattel, D.D.S. Valid NPI

Individual provider · Public Health Dentistry · House Springs, MO

NPI

1083054076

Type

Individual (Type 1)

Primary specialty

Public Health Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223D0001X

License number

2016011193 (MO)

Sex

Female

Sole proprietor

Yes

Enumerated

2013-07-05

Last updated

2017-03-27