Individual
DR. BLAKE G. PARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
992 E COTTONWOOD LN STE 106, CASA GRANDE, AZ 85222-2219
(520) 836-2600
(520) 836-2666
Mailing address
2217 E ALOE PL, CHANDLER, AZ 85249-2772
(480) 726-1961
(520) 836-2666
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6126
AZ
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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