Carol M Blossfeld, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Edmond, OK
- NPI
- 1164557484
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 5271 (OK)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-02-23
- Last updated
- 2007-07-08
Practice location
3201 E Memorial Rd, Suite A
Edmond, OK 73013-7104
(405) 475-9221