Individual
BLAKE RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
818 W LAKE LANSING RD, EAST LANSING, MI 48823-1308
(517) 333-9500
Mailing address
3846 CALYPSO RD, HOLT, MI 48842-7704
(517) 803-0844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600600
MI
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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