Individual
DR. RONDELL LUCIAN BLAKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5419 W. TROPICANA AVE., APT.#2702, LAS VEGAS, NV 89103
(202) 285-0824
Mailing address
5419 W. TROPICANA AVE., APT.#2702, LAS VEGAS, NV 89103
(202) 285-0824
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8515
NC
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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