Clinton L Blake Dds Pc | |
2820 Nw 32nd St Newcastle OK 73065-6576 | |
(405) 392-4883 | |
(405) 392-4889 |
Full Name | Clinton L Blake Dds Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 2820 Nw 32nd St, Newcastle, Oklahoma |
Authorized Official Name and Position | Clinton Blake (DENTIST/OWNER) |
Authorized Official Contact | 4053924883 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clinton L Blake Dds Pc 2820 Nw 32nd St Newcastle OK 73065-6576 Ph: (405) 392-4883 | Clinton L Blake Dds Pc 2820 Nw 32nd St Newcastle OK 73065-6576 Ph: (405) 392-4883 |
NPI Number | 1780966036 |
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Provider Enumeration Date | 09/13/2011 |
Last Update Date | 09/13/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780966036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6330 (Oklahoma) | Primary |
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