Individual
BLAKE BENNETT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
945 ELLIOTT AVE W, SUITE 100, SEATTLE, WA 98119-3645
(206) 285-5000
Mailing address
945 ELLIOTT AVE W, SUITE 100, SEATTLE, WA 98119-3645
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE60520840
WA
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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