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Individual

BLAKE SWONKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6410 FANNIN ST STE 310, HOUSTON, TX 77030-3004
(713) 486-4000
Mailing address
954 FISHER ST UNIT E, HOUSTON, TX 77018-5369
(832) 477-7470

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40380
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/03/2023
Last updated
10/09/2024
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