Individual
BLAKE CHARLES STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
RUNION DENTAL CLINIC, 2240 WINROW RD, FORT HUACHUCA, AZ 85613
(520) 533-9200
Mailing address
BUDGE DENTAL CLINIC, 3145 GARDEN AVE STE 1278, FORT SAM HOUSTON, TX 78234
(210) 808-3735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6697176-9921
UT
1223G0001X
General Practice Dentistry
Primary
6697176-9921
UT
Other
Enumeration date
08/23/2007
Last updated
09/11/2025
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