Nicole Ann Blake, RDH/DT
NPI #1518849603 in North Mankato, Minnesota
Provider Information
- NPI Number
- 1518849603
- Entity Type
- Individual
- Name
- Nicole Ann Blake, RDH/DT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Therapist
- Credential
- RDH/DT
- Enumeration Date
- Jul 22, 2025
- Last Updated
- Jul 24, 2025
Practice Location
- Address
- 1400 LOOKOUT DR
- City
- North Mankato
- State
- Minnesota
- ZIP Code
- 56003-2500
- Phone
- (507) 480-4646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Therapist |
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