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Individual

BLAKE THOMAS LINDSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
9825 S MASON RD, SUITE 120, RICHMOND, TX 77406-5810
(855) 853-7681
Mailing address
PO BOX 860036, MINNEAPOLIS, MN 55486-0036
(832) 595-6500

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29149
TX

Other

Enumeration date
03/30/2012
Last updated
05/05/2016
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