Individual
DR. MARIA K BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
912 W MORRIS AVE, HAMMOND, LA 70403-4032
(985) 345-9481
(985) 345-9414
Mailing address
912 W MORRIS AVE, HAMMOND, LA 70403-4032
(985) 345-9481
(985) 345-9414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3112
LA
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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