| Blake K Anderson Dmd Llc | |
|
828 Ne A St Grants Pass OR 97526-2212 | |
| (541) 476-9792 | |
| Not Available |
| Full Name | Blake K Anderson Dmd Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 828 Ne A St, Grants Pass, Oregon |
| Authorized Official Name and Position | Blake K Anderson (DOCTOR/OWNER) |
| Authorized Official Contact | 9167657036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blake K Anderson Dmd Llc 4674 E Foxwood Dr Eagle Mountain UT 84005-6176 Ph: () - | Blake K Anderson Dmd Llc 828 Ne A St Grants Pass OR 97526-2212 Ph: (541) 476-9792 |
| NPI Number | 1912571027 |
|---|---|
| Provider Enumeration Date | 05/14/2021 |
| Last Update Date | 05/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912571027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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