Individual
DR. BLAKE DANIEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2600 BEMIDJI AVE N, BEMIDJI, MN 56601-2324
(218) 444-7462
(218) 751-4462
Mailing address
2600 BEMIDJI AVE N, BEMIDJI, MN 56601-2324
(218) 444-7462
(218) 751-4462
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13225
MN
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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