Brandon Blake DDS PA
NPI #1639686736 in Banner Elk, North Carolina
Provider Information
- NPI Number
- 1639686736
- Entity Type
- Organization
- Organization Name
- Brandon Blake DDS PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 10, 2018
- Last Updated
- Jan 10, 2018
Practice Location
- Address
- 122 HARDEES LN
- City
- Banner Elk
- State
- North Carolina
- ZIP Code
- 28604-9683
- Phone
- (828) 898-4656
Authorized Official
- Name
- DR. BRANDON JOSEPH BLAKE, DDS
- Title
- OWNER/DENTIST
- Phone
- (828) 442-3206
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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