Individual
DR. BLAKE RYAN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3401 NW 23RD ST, OKLAHOMA CITY, OK 73107-1803
(405) 949-0123
Mailing address
15417 IVY HILL DR, OKLAHOMA CITY, OK 73170-9341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6018
OK
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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