Individual
DR. BLAKE THOMAS EYRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2821 N BALLAS RD, SUITE 160, SAINT LOUIS, MO 63131-2321
(314) 567-5477
(314) 567-4804
Mailing address
2821 N BALLAS RD, SUITE 160, SAINT LOUIS, MO 63131-2321
(314) 567-5477
(314) 567-4804
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2012015358
MO
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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