Organization
CAROL A BLAKE, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL A BLAKE DDS (OWNER/DENTIST)
(202) 966-0620
Entity
Organization
Contact information
Practice address
5225 WISCONSIN AVE NW, SUITE 511, WASHINGTON, DC 20015-2014
(202) 966-0620
(202) 966-1509
Mailing address
5225 WISCONSIN AVE NW, SUITE 511, WASHINGTON, DC 20015-2014
(202) 966-0620
(202) 966-1509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5133
DC
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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