DR. Thomas Joel Blake, D.D.S., M.S.D.
NPI #1992862593 in Spokane Valley, Washington
Provider Information
- NPI Number
- 1992862593
- Entity Type
- Individual
- Name
- DR. Thomas Joel Blake, D.D.S., M.S.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S., M.S.D.
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Aug 30, 2012
Practice Location
- Address
- 721 N PINES RD
- Address 2
- SUITE 101
- City
- Spokane Valley
- State
- Washington
- ZIP Code
- 99206-5225
- Phone
- (509) 926-1234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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