DR. Blake Elden Wayman

NPI #1205947033 in El Paso, Texas

Provider Information

NPI Number
1205947033
Entity Type
Individual
Name
DR. Blake Elden Wayman
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Endodontics
Enumeration Date
Aug 31, 2006
Last Updated
Aug 15, 2012

Practice Location

Address
6901 HELEN OF TROY DRIVE, BLDG C
State
Texas
ZIP Code
79911-3043
Phone
(915) 581-8090

Specialties & Taxonomy Codes

Specialty
Dentist - EndodonticsEndodontics

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