Individual
DR. BLAKE EVERETT PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3451 NELSON RD, LAKE CHARLES, LA 70605-1209
(337) 479-2273
(337) 478-2212
Mailing address
3451 NELSON RD, LAKE CHARLES, LA 70605-1209
(337) 479-2273
(337) 478-2212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6282
LA
Other
Enumeration date
05/22/2012
Last updated
03/01/2013
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