DR. Kenneth Erwin Blake, D.M.D.

NPI #1346396264 in Aloha, Oregon

Provider Information

NPI Number
1346396264
Entity Type
Individual
Name
DR. Kenneth Erwin Blake, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Jan 25, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
3400 SW 187TH AVE
Address 2
SUITE 2
City
Aloha
State
Oregon
ZIP Code
97006-3131
Phone
(503) 642-2834

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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