DR. Blake Upshaw, DMD

NPI #1457766081 in Cumming, Georgia

Provider Information

NPI Number
1457766081
Entity Type
Individual
Name
DR. Blake Upshaw, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Jun 23, 2014
Last Updated
Jun 23, 2014

Practice Location

Address
1200 BALD RIDGE MARINA RD
Address 2
SUITE 200
State
Georgia
ZIP Code
30041-8526
Phone
(770) 781-8650

Specialties & Taxonomy Codes

Specialty
Dentist

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