Individual
DR. DAVID BLAKE NULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3820 SANDY FORKS DR, KINGWOOD, TX 77339-2618
(281) 360-3307
Mailing address
2625 HARMONY PARK XING, SPRING, TX 77386-4475
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
31706
TX
Other
Enumeration date
08/10/2017
Last updated
03/17/2018
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