J Blake, Dmd, Ps

NPI #1255531018 in Spokane Valley, Washington

Provider Information

NPI Number
1255531018
Entity Type
Organization
Organization Name
J Blake, Dmd, Ps
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Jul 20, 2007
Last Updated
Mar 31, 2009

Practice Location

Address
12615 E MISSION AVE
Address 2
SUITE 312
ZIP Code
99216-1047
Phone
(509) 926-1234

Authorized Official

Name
DR. T. JOEL BLAKE, DMD
Title
OWNER/DENTIST
Phone
(509) 926-1234

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Dentist - Pediatric DentistryPediatric Dentistry

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