DR. Blake Westra, D.M.D.

NPI #1265761639 in Charleston, Illinois

Provider Information

NPI Number: 1265761639
Entity Type: Individual
Name: DR. Blake Westra, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Dec 15, 2009
Last Updated: Dec 15, 2009

Practice Location

Address: 903 18TH ST
City: Charleston
State: Illinois
ZIP Code: 61920-2938
Phone: (217) 348-7770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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