Individual
ANN M BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191
(702) 653-2273
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191
(702) 653-2682
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30019252
OH
1223E0200X
Endodontics
30019252
OH
Other
Enumeration date
05/05/2006
Last updated
08/20/2025
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