Individual
DR. BRANDON JOSEPH BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1921 GOOSE CREEK RD, MARION, NC 28752-8328
(828) 442-3206
Mailing address
1921 GOOSE CREEK RD, MARION, NC 28752-8328
(828) 442-3206
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8380
NC
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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