Individual
BLAKE MONTGOMERY HUTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1204 THOMASVILLE, GARLAND, TX 75044-3477
(972) 414-4000
Mailing address
3700 GWINN CT, PLANO, TX 75025-2083
(214) 534-8773
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38630
TX
1223G0001X
General Practice Dentistry
Primary
38630
TX
Other
Enumeration date
06/20/2022
Last updated
07/09/2026
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