DR. Samuel Ernest Bleakley, D.D.S.
NPI #1023034204 in Modesto, California
Provider Information
- NPI Number
- 1023034204
- Entity Type
- Individual
- Name
- DR. Samuel Ernest Bleakley, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jul 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1601 MCHENRY VILLAGE WAY STE 1
- City
- Modesto
- State
- California
- ZIP Code
- 95350-4338
- Phone
- (209) 577-1313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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