Individual
DR. BENJAMIN E. BLAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
6437 RUCKER RD, INDIANAPOLIS, IN 46220
(317) 257-3799
Mailing address
6437 RUCKER RD, INDIANAPOLIS, IN 46220
(317) 257-3799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7840
IN
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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