Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RENAE DAWN BLOME, RDH
Active Sole ProprietorRENAE DAWN BLOME, RDH is a Dental Hygienist healthcare provider located in MEDFORD, Minnesota. NPI 1093969107 is currently active in the NPPES registry. Verify at CMS.
Dental Hygienist · MEDFORD, MN
Registration Details
- NPI Number
- 1093969107
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 17, 2008 (17.595512638839 yrs)
- Last Updated
- Nov 17, 2008
- License
-
H6616 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4366 270TH ST EMEDFORD, MN, 550498001Browse MN providers · Browse ZIP 55049
- Phone
- 5074750628
- Fax
- 5074461098
- Primary Specialty
-
Dental Hygienist
124Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.