Ernest Hubbert Blake, Jr, DDS

NPI #1821178070 in Perry, Florida

Provider Information

NPI Number: 1821178070
Entity Type: Individual
Name: Ernest Hubbert Blake, Jr, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 16, 2006
Last Updated: Feb 6, 2009

Practice Location

Address: 409 E ASH ST
City: Perry
State: Florida
ZIP Code: 32347-2104
Phone: (850) 223-2578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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