Individual
DR. JOSHUA BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8732 UNIVERSITY CITY BLVD, CHARLOTTE, NC 28213-3558
(704) 508-9397
Mailing address
14728 MADISON HILL CT, CHARLOTTE, NC 28273-4947
(704) 813-7274
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10616
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/09/2016
Last updated
07/21/2022
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