Melvyn A Blake Dds Pc | |
600 State Hwy 73 North Suite 9a Marlton NJ 08053 | |
(856) 596-1460 | |
(856) 596-1085 |
Full Name | Melvyn A Blake Dds Pc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 600 State Hwy 73 North, Marlton, New Jersey |
Authorized Official Name and Position | Melvyn Arnold Blake (OWNER) |
Authorized Official Contact | 8565961460 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Melvyn A Blake Dds Pc 600 State Hwy 73 North Suite 9a Marlton NJ 08053 Ph: (856) 596-1460 | Melvyn A Blake Dds Pc 600 State Hwy 73 North Suite 9a Marlton NJ 08053 Ph: (856) 596-1460 |
NPI Number | 1215940150 |
---|---|
Provider Enumeration Date | 08/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215940150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 22DI00895300NJ (New Jersey) | Primary |
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