# J. BLAKE PERKINS, DDS, PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Today's Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104084276
- **Authorized official:** DR. JUSTIN BLAKE PERKINS D.D.S. (OWNER)
- **Authorized official phone:** (360) 892-7780

## Contact information

- **Practice address:** 2616 NE 112TH AVE, VANCOUVER, WA 98684-4284
- **Practice address phone:** (360) 892-7780
- **Practice address fax:** (360) 892-0181
- **Mailing address:** 2616 NE 112TH AVE, VANCOUVER, WA 98684-4284
- **Mailing address phone:** (360) 892-7780
- **Mailing address fax:** (360) 892-0181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00008724 | WA | Yes |

## Other

- **Enumeration date:** 05/27/2008
- **Last updated:** 05/27/2008