Blaine Dixon, DDS

NPI 1306959143 · on the registry since 2006

Practice

Address: 3609 Coffee Road
Suite 6
Modesto, CA 95355
Phone: (209) 526-0676
Fax: (209) 526-0676
Organisation at this address: Lamaso Dental Corporation
Elizabeth Sotomil Dds, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Dentist
122300000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California