Individual
DR. AARON JAMES BLAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
112 W ADAMS ST, HAVANA, IL 62644-1337
(309) 543-6301
(309) 543-4958
Mailing address
112 W ADAMS ST, HAVANA, IL 62644-1337
(309) 543-6301
(309) 543-4958
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-024184
IL
Other
Enumeration date
12/07/2006
Last updated
07/08/2007
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