Individual
BLAKE HARRISON MULGREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9600 ESCARPMENT BLVD STE 770, AUSTIN, TX 78749-1984
(512) 301-2483
Mailing address
2703 NORDHAM DR, AUSTIN, TX 78745-4718
(520) 990-4684
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30602
TX
Other
Enumeration date
12/11/2014
Last updated
02/04/2025
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