DR. Misty Rene' Horn-Blake, D.D.S.

NPI #1316147721 in Johnson City, Tennessee

Provider Information

NPI Number: 1316147721
Entity Type: Individual
Name: DR. Misty Rene' Horn-Blake, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jul 23, 2007
Last Updated: Jan 9, 2008

Practice Location

Address: 1301 SUNSET DR
Address 2: SUITE 6
City: Johnson City
State: Tennessee
ZIP Code: 37604-7906
Phone: (423) 283-8830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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