DR. Blake Daniel Smith, D.D.S.

NPI #1881031946 in Bemidji, Minnesota

Provider Information

NPI Number: 1881031946
Entity Type: Individual
Name: DR. Blake Daniel Smith, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 30, 2013
Last Updated: May 30, 2013

Practice Location

Address: 2600 BEMIDJI AVE N
City: Bemidji
State: Minnesota
ZIP Code: 56601-2324
Phone: (218) 444-7462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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