DR. George Dale Blake JR., DDS
NPI #1720081268 in Runaway Bay, Texas
Provider Information
- NPI Number
- 1720081268
- Entity Type
- Individual
- Name
- DR. George Dale Blake JR., DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- May 30, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 229 HALF MOON WAY
- City
- Runaway Bay
- State
- Texas
- ZIP Code
- 76426-9773
- Phone
- (940) 575-4185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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