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Individual

DR. BLAKE J PERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2017 CONTINENTAL PL STE 9, MOUNT VERNON, WA 98273-5649
(360) 424-3133
Mailing address
2017 CONTINENTAL PL STE 9, MOUNT VERNON, WA 98273-5649
(360) 424-3133

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00011215
WA
1223G0001X
General Practice Dentistry
5535-015
WI

Other

Enumeration date
06/02/2006
Last updated
12/28/2011
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