NPI 1659711596

Blair Ray, DENTALHYGENIST

Practitioner Dental Hygienist New Madrid, MO

Practice location

Address: 202b Main St, New Madrid, MO 63869-1911
Phone: (573) 748-5671
Fax: (573) 748-5317
Mailing address: 420 Line Street, New Madrid, MO 63869

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 2010018542 (MO)

Other Dental Hygienist providers in Missouri →

Registry record

NPI: 1659711596
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jun 2013
Record last updated: 25 Jun 2013

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.