DR. John P Blake, D.D.S., P.C.
NPI #1740364199 in Lake Orion, Michigan
Provider Information
- NPI Number
- 1740364199
- Entity Type
- Individual
- Name
- DR. John P Blake, D.D.S., P.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S., P.C.
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1251 S LAPEER RD
- Address 2
- SUITE 201
- City
- Lake Orion
- State
- Michigan
- ZIP Code
- 48360-1414
- Phone
- (248) 693-5800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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