Organization
RONDELL L. BLAKEY, D.D.S., P.A.
Active
Organization
RONDELL L. BLAKEY, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONDELL LUCIAN BLAKEY D.D.S. (OWNER)
(919) 435-0632
Entity
Organization
Contact information
Practice address
2621 GARDEN HILL DR APT 108, RALEIGH, NC 27614-6522
(919) 435-0632
Mailing address
2621 GARDEN HILL DR APT 108, RALEIGH, NC 27614-6522
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8515
NC
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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