Organization
BLAKE HERBISON DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE HERBISON D.D.S. (MEMBER)
(425) 486-2727
Entity
Organization
Contact information
Practice address
18520 101ST AVE NE, BOTHELL, WA 98011-3804
(425) 486-2727
Mailing address
22826 36TH AVE SE, BOTHELL, WA 98021-6203
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00011059
WA
Other
Enumeration date
12/26/2007
Last updated
08/08/2013
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