Individual
DR. ROBERT A BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
50 WEST ST, BEVERLY, MA 01915-2228
(978) 927-3515
(978) 927-7686
Mailing address
3 LANTHORN LN, BEVERLY, MA 01915-4721
(978) 927-7686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14749
MA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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