Christopher Allen Blake DDS

NPI 1831499532 - Dentist - 1223G0001X

NPI Details
NPI 1831499532
Gender Male
Enumeration Date 10/27/2010
Last Updated 10/27/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
17280 W NORTH AVE
SUITE 102
BROOKFIELD WI, 53045-4366, US
Phone (262) 789-9200
Fax (262) 789-9213
Business Location
17280 W NORTH AVE
SUITE 102
BROOKFIELD WI, 53045-4366, US
Phone (262) 789-9200
Fax (262) 789-9213
Toxanomy
Taxonomy Code 1223G0001X
License State Wisconsin
License Number 5002097015
Remove 1831499532 NPI Number
 

According to our database, Dr. Christopher Allen Blake DDS NPI is 1831499532, taxonomy code is 1223G0001X and license number is 5002097015, license state is located at Wisconsin. Christopher Allen Blake DDS physically located at 17280 W North Ave, Brookfield WI, 53045-4366. NPI Number Christopher Allen Blake DDS has the Individual type.

Sponsored links

1831499532 NPI number is provided on an as is basis without warranty of any kind. 1831499532 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher Allen Blake DDS are for informational purposes only.