Blaine A Hammond, DMD Valid NPI
Individual provider · General Practice Dentistry · Idaho Falls, ID
- NPI
- 1295021632
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- D4369 (ID)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-06-23
- Last updated
- 2011-06-23
Practice location
640 S Woodruff Ave
Idaho Falls, ID 83401-5299
(208) 523-5400