institution
Brandon Blake Dds Pa
Dental Clinic/Center in Banner Elk, North Carolina
NPI 1639686736

Brandon Blake Dds Pa is a Dental Clinic/Center based in Banner Elk, NC and is specialized in Dental. Brandon Blake Dds Pa practices in Banner Elk, NC. The NPI Number for Brandon Blake Dds Pa is 1639686736 and holds a License No. 8380 (North Carolina).

The current practice location address for Brandon Blake Dds Pa is 122 Hardees Ln, Banner Elk, NC and can be reached out via phone at 828-898-4656.

Location: 122 Hardees Ln, Banner Elk, NC, 28604-9683
institution
Provider Profile Details
NPI Number
1639686736
Provider Name
Brandon Blake Dds Pa
Credential
Provider Entity Type
Organization
Address
122 Hardees Ln, Banner Elk, NC, 28604-9683
Phone Number
828-898-4656
Fax Number
Provider Enumeration Date
01/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
122 Hardees Ln
City
State
Zip
28604-9683
Phone Number
828-898-4656
Fax Number
person
Provider Business Mailing Address Details
Address
122 Hardees Ln
City
State
Zip
28604-9683
Phone Number
828-898-4656
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
8380 (North Carolina)
Definition
Definition to come...
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