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Dr. Ryan Blake, DMD
Pediatric Dentist in Mesa, Arizona
NPI 1861841918

Ryan Blake is a Pediatric Dentist based in Mesa, AZ and is specialized in Pediatric Dentistry. Ryan Blake practices in Mesa, AZ and has the professional credentials of DMD. The NPI Number for Ryan Blake is 1861841918 and holds a License No. (Arizona).

The current practice location address for Ryan Blake is 4425 S. Mountain Road, Mesa, AZ and can be reached out via phone at 480-676-1517.

Location: 4425 S. Mountain Road, Mesa, AZ, 85212-8070
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Provider Profile Details
NPI Number
1861841918
Provider Name
Ryan Blake
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
4425 S. Mountain Road, Mesa, AZ, 85212-8070
Phone Number
480-676-1517
Fax Number
Provider Enumeration Date
06/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4425 S. Mountain Road
City
State
Zip
85212
Phone Number
480-676-1517
Fax Number
person
Provider Business Mailing Address Details
Address
4425 S. Mountain Road
City
State
Zip
85212
Phone Number
480-676-1517
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
10161 (Arizona)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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