Individual
DR. AHREN SCOTT BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS-09756
IA
1223E0200X
Endodontics
Primary
25514
OK
1223G0001X
General Practice Dentistry
DDS-09756
IA
Other
Enumeration date
07/14/2020
Last updated
06/30/2026
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