Individual
BLAKE A YOUNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
111 BROOKS ST, CHARLESTON, WV 25301-2904
(304) 344-0344
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 781-5189
(304) 523-8115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4222
WV
Other
Enumeration date
02/29/2016
Last updated
08/18/2023
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