Individual
DR. BLAKE B. SETIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8430 PERSHALL RD, HAZELWOOD, MO 63042-3075
(314) 521-5678
(314) 521-0283
Mailing address
8430 PERSHALL RD, HAZELWOOD, MO 63042-3075
(314) 521-5678
(314) 521-0283
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2011015205
MO
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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