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Organization

DR MARIA K BLAKE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIA K BLAKE DDSFAGD (DENTIST)
(985) 345-9481
Entity
Organization

Contact information

Practice address
912 W MORRIS AVE, HAMMOND, LA 70403-4032
(985) 345-9481
Mailing address
912 W MORRIS AVE, HAMMOND, LA 70403-4032
(985) 345-9481

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
07/26/2006
Last updated
10/17/2012
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