DR. Blake Kevin Anderson, DMD

NPI #1235713140 in Grants Pass, Oregon

Provider Information

NPI Number: 1235713140
Entity Type: Individual
Name: DR. Blake Kevin Anderson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: May 6, 2021
Last Updated: May 6, 2021

Practice Location

Address: 828 NE A ST
City: Grants Pass
State: Oregon
ZIP Code: 97526-2212
Phone: (916) 765-7036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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