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Individual

DR. BLAKE ALAN HAMBLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
11451 KATY FWY STE 515, HOUSTON, TX 77079-2017
(713) 984-9887
Mailing address
1622 ALAMO ST, HOUSTON, TX 77007-2904
(469) 835-1092

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35287
TX

Other

Enumeration date
06/22/2019
Last updated
06/22/2019
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