DR. Blake Latendresse, DDS

NPI #1285369157 in Bellevue, Nebraska

Provider Information

NPI Number
1285369157
Entity Type
Individual
Name
DR. Blake Latendresse, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jul 23, 2022
Last Updated
Jul 23, 2022

Practice Location

Address
1004 LINCOLN RD STE 100
ZIP Code
68005-2341
Phone
(402) 293-1176

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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