Individual
MS. JESSICA J. BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2746 MAIN ST, BUFFALO, NY 14214-1702
(716) 249-4999
(716) 249-4999
Mailing address
5363 TRANSIT RD, CLARENCE, NY 14221
(716) 320-1901
(716) 299-3390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055802
NY
Other
Enumeration date
08/01/2010
Last updated
10/11/2022
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