Individual
MR. BLAKE B ROBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MA, MSD
Contact information
Practice address
1355 S. HIGLEY RD #105, GILBERT, AZ 85296
(480) 888-7711
(480) 888-2895
Mailing address
1355 S. HIGLEY RD #105, GILBERT, AZ 85296
(480) 888-7711
(480) 888-2895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
55332
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D8105
AZ
Other
Enumeration date
04/18/2007
Last updated
02/21/2020
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