Individual
DR. CAROL ANN BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5225 WISCONSIN AVE NW, SUITE 511, WASHINGTON, DC 20015-2014
(202) 966-0620
(202) 966-1509
Mailing address
5225 WISCONSIN AVE NW, SUITE 511, WASHINGTON, DC 20015-2014
(202) 966-0620
(202) 966-1509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5133
DC
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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