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Individual

DR. BLAKE PATRICK WOODS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1699 E WOODFIELD RD STE 101, SCHAUMBURG, IL 60173-4955
(224) 571-9541
Mailing address
1216 W LEXINGTON ST APT 101, CHICAGO, IL 60607-4111
(847) 682-9963

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019.035308
IL
1223G0001X
General Practice Dentistry
Primary
019.035308
IL

Other

Enumeration date
07/02/2024
Last updated
07/02/2024
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