Whalio Doctors

NPI 1093969107

Renae Dawn Blome, RDH

Practitioner Dental Hygienist Medford, MN

Practice location

Address
4366 270th St E, Medford, MN 55049-8001
Phone
(507) 475-0628
Fax
(507) 446-1098
Mailing address
4366 270th St E PO Box 237, Medford, MN 55049-8001

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence H6616 (MN)

Registry record

NPI
1093969107
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Nov 2008
Record last updated
17 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.