Individual
DR. RYAN BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
721 N PINES RD STE 101, SPOKANE VALLEY, WA 99206-5225
(509) 926-1234
Mailing address
721 N PINES RD STE 101, SPOKANE VALLEY, WA 99206-5225
(435) 669-7308
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
10161
AZ
1223P0221X
Pediatric Dentistry
Primary
60796314
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2016
Last updated
04/22/2025
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