Peter J Blodgett, DDS Valid NPI
Individual provider · General Practice Dentistry · Decorah, IA
- NPI
- 1134209661
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 7396 (IA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-10-17
- Last updated
- 2024-04-09
Practice location
108 5th Ave
Decorah, IA 52101-1319
(563) 382-3657