Blair, Randall Parley
Blair, Randall Parley is an sole proprietor health care provider with primary practice located at 37 W Archerfield St Ste 100 , Meridian ID 83646-6587. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Blair, Randall Parley can be contacted via phone (208) 938-9958.Contact Information
Primary practice address
37 W Archerfield St Ste 100
Meridian ID 83646-6587
Phone: (208) 938-9958
Fax: (208) 298-0646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | D4550PD | Idaho |
Profile Details
| NPI number | 1659546174 |
|---|---|
| LBN Legal business name | Blair, Randall Parley |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2008 |
| Last updated | Feb 9th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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