DR. Blake James Willoughby II, DDS
NPI #1043772742 in Palm Beach Gardens, Florida
Provider Information
- NPI Number
- 1043772742
- Entity Type
- Individual
- Name
- DR. Blake James Willoughby II, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 2, 2019
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 3400 BURNS RD STE 100
- State
- Florida
- ZIP Code
- 33410-4352
- Phone
- (561) 627-2122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - General Practice — General Practice |
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