Individual
DR. BLAKE THOMAS PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3411 JOHNSON ST, HOLLYWOOD, FL 33021-5420
(954) 983-5450
(954) 983-3846
Mailing address
3411 JOHNSON ST, HOLLYWOOD, FL 33021-5420
(954) 983-5450
(954) 983-3846
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN21289
FL
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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