Individual
BLAKE MATTHEW WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, PHD, MPH
Contact information
Practice address
2300 FREEPORT RD, FELDARELLI SQ 16, NEW KENSINGTON, PA 15068-4669
(724) 335-8111
Mailing address
517 PEEBLES ST, PITTSBURGH, PA 15221-3210
(419) 439-2215
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS039850
PA
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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