Individual
DR. BLAKE DANIEL ENTRALGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
560A LIPPINCOTT DRIVE, BLDG B, MARLTON, NJ 08053
(856) 985-1800
(856) 985-7170
Mailing address
560A LIPPINCOTT DRIVE, BLDG B, MARLTON, NJ 08053
(856) 985-1800
(856) 985-7170
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02666400
NJ
Other
Enumeration date
11/04/2011
Last updated
05/03/2018
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