Individual
DR. ROY C BLAKE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
200 BUTLER ST, SUITE 203, WEST PALM BEACH, FL 33407-6036
(561) 296-3399
(561) 202-6776
Mailing address
200 BUTLER ST, SUITE 203, WEST PALM BEACH, FL 33407-6036
(561) 296-3399
(561) 202-6776
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN9551
FL
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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