Individual
DR. BLAKE CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
515 DELAWARE ST SE # 8-166, MINNEAPOLIS, MN 55455-0357
(612) 624-9900
Mailing address
515 DELAWARE ST SE # 8-166, MINNEAPOLIS, MN 55455-0357
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14951
MN
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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