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Organization

BLAKE G. SINCLAIR, DDS II, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID SIMMONS (MANAGING DENTIST)
(936) 560-2275
Entity
Organization

Contact information

Practice address
3801 NORTH ST, NACOGDOCHES, TX 75965-2473
(936) 560-2275
(936) 560-2270
Mailing address
3801 NORTH ST, NACOGDOCHES, TX 75965-2473
(936) 560-2275
(936) 560-2270

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17163
TX

Other

Enumeration date
12/16/2015
Last updated
12/16/2015
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