Individual
BLAKE MONTGOMERY HUTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4851 LEGACY DR, FRISCO, TX 75034-0816
(972) 335-9313
Mailing address
3700 GWINN CT, PLANO, TX 75025-2083
(214) 534-8773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38630
TX
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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