Individual
DR. BLAKE LOREN HAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4350 SHERIDAN ST STE 201D, HOLLYWOOD, FL 33021-3556
(954) 981-0012
Mailing address
4350 SHERIDAN ST STE 201D, HOLLYWOOD, FL 33021-3556
(954) 675-8266
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN26880
FL
Other
Enumeration date
01/09/2023
Last updated
10/08/2025
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