Individual
DR. BLAKE DYSON MAIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
7500 SAN FELIPE ST STE 300, HOUSTON, TX 77063-1716
(713) 457-6337
(713) 457-6341
Mailing address
7500 SAN FELIPE ST STE 300, HOUSTON, TX 77063-1716
(713) 457-6337
(713) 457-6341
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
24660
TX
Other
Enumeration date
06/29/2009
Last updated
07/21/2022
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