Individual
DR. BLAKE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1775 GRAND CONCOURSE, BRONX, NY 10453-8202
(718) 590-1800
Mailing address
195 HAMILTON AVE, GLEN ROCK, NJ 07452-2203
(201) 452-6995
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02695000
NJ
Other
Enumeration date
11/08/2017
Last updated
04/21/2021
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