| John P. Blake Dds Pc | |
|
1251 S Lapeer Rd Ste 201 Lake Orion MI 48360-1416 | |
| (248) 693-5800 | |
| (248) 693-6383 |
| Full Name | John P. Blake Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1251 S Lapeer Rd Ste 201, Lake Orion, Michigan |
| Authorized Official Name and Position | John P Blake (DENTIST/ OWNER) |
| Authorized Official Contact | 2486935800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John P. Blake Dds Pc 1251 S Lapeer Rd Ste 201 Lake Orion MI 48360-1416 Ph: (248) 693-5800 | John P. Blake Dds Pc 1251 S Lapeer Rd Ste 201 Lake Orion MI 48360-1416 Ph: (248) 693-5800 |
| NPI Number | 1457087934 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457087934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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