Blake Herbison

NPI #1689996340 in Bothell, Washington

Provider Information

NPI Number: 1689996340
Entity Type: Individual
Name: Blake Herbison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 23, 2010
Last Updated: Feb 23, 2010

Practice Location

Address: 18520 101ST AVE NE
City: Bothell
State: Washington
ZIP Code: 98011-3804
Phone: (425) 486-2727

Specialties & Taxonomy Codes

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

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