Organization
JOHN P. BLAKE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P BLAKE DDS (DENTIST/ OWNER)
(248) 693-5800
Entity
Organization
Contact information
Practice address
1251 S LAPEER RD STE 201, LAKE ORION, MI 48360-1416
(248) 693-5800
(248) 693-6383
Mailing address
1251 S LAPEER RD STE 201, LAKE ORION, MI 48360-1416
(248) 693-5800
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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