DR. Clinton Larry Blake, D.D.S.

NPI #1649328782 in Norman, Oklahoma

Provider Information

NPI Number: 1649328782
Entity Type: Individual
Name: DR. Clinton Larry Blake, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jan 8, 2007
Last Updated: Sep 20, 2011

Practice Location

Address: 831 SIENA SPRINGS DR.
City: Norman
State: Oklahoma
ZIP Code: 73071
Phone: (405) 392-4883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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