Individual
DR. BLAKE ISAAC DAYLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1578 S TIMESQUARE LN, BOISE, ID 83709-8266
(208) 321-1141
(208) 321-1143
Mailing address
1578 S TIMESQUARE LN, BOISE, ID 83709-8266
(208) 321-1141
(208) 321-1143
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4154
ID
Other
Enumeration date
06/26/2008
Last updated
07/09/2014
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