| Blake Herbison Dds Pllc | |
|
18520 101st Ave Ne Bothell WA 98011-3804 | |
| (425) 486-2727 | |
| Not Available |
| Full Name | Blake Herbison Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 18520 101st Ave Ne, Bothell, Washington |
| Authorized Official Name and Position | Blake Herbison (MEMBER) |
| Authorized Official Contact | 4254862727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Herbison Dds Pllc 22826 36th Ave Se Bothell WA 98021-6203 Ph: () - | Blake Herbison Dds Pllc 18520 101st Ave Ne Bothell WA 98011-3804 Ph: (425) 486-2727 |
| NPI Number | 1013191006 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 08/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013191006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00011059 (Washington) | Primary |
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