Individual
DR. MAURICE WELBORN BLAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1519 E NORTH AVE, BALTIMORE, MD 21213-1437
(410) 962-1617
(410) 962-1512
Mailing address
1519 E NORTH AVE, BALTIMORE, MD 21213-1437
(410) 962-1617
(410) 962-1512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6210
MD
Other
Enumeration date
10/30/2007
Last updated
10/31/2011
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