DR. Blake Martin Vincent, D.D.S.

NPI #1083747190 in Athens, Texas

Provider Information

NPI Number: 1083747190
Entity Type: Individual
Name: DR. Blake Martin Vincent, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Mar 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 301 S PALESTINE ST
City: Athens
State: Texas
ZIP Code: 75751-2509
Phone: (903) 675-1201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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