Blake Herbison DDS Pllc

NPI #1013191006 in Bothell, Washington

Provider Information

NPI Number: 1013191006
Entity Type: Organization
Organization Name: Blake Herbison DDS Pllc
Primary Specialty: Dentist
Enumeration Date: Dec 26, 2007
Last Updated: Aug 8, 2013

Practice Location

Address: 18520 101ST AVE NE
City: Bothell
State: Washington
ZIP Code: 98011-3804
Phone: (425) 486-2727

Authorized Official

Name: DR. BLAKE HERBISON, D.D.S.
Title: MEMBER
Phone: (425) 486-2727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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