Individual
DR. BLAKE RYAN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
200 CORNERSTONE DR STE 200&203, CARY, NC 27519-8428
(919) 468-4211
Mailing address
505 DICKSON AVE, IDAHO FALLS, ID 83402-2946
(208) 346-0724
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4294
ID
Other
Enumeration date
06/28/2010
Last updated
07/21/2022
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