Individual
DR. BLAKE AARON DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
315 MCHUGH BLVD, COMMANDING OFFICER 2D DENBN/NDC PSC 20130, CAMP LEJEUNE, NC 28540-0130
(910) 451-2208
(910) 451-8036
Mailing address
315 MCHUGH BLVD, COMMANDING OFFICER 2D DENBN/NDC PSC 20130, CAMP LEJEUNE, NC 28540-0130
(910) 451-2208
(910) 451-8036
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
9068875-9921
UT
Other
Enumeration date
05/29/2014
Last updated
05/10/2021
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