| Carol A Blake, Dds, Pllc | |
|
5225 Wisconsin Ave Nw Suite 511 Washington DC 20015-2014 | |
| (202) 966-0620 | |
| (202) 966-1509 |
| Full Name | Carol A Blake, Dds, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 5225 Wisconsin Ave Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Carol A Blake (OWNER/DENTIST) |
| Authorized Official Contact | 2029660620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol A Blake, Dds, Pllc 5225 Wisconsin Ave Nw Suite 511 Washington DC 20015-2014 Ph: (202) 966-0620 | Carol A Blake, Dds, Pllc 5225 Wisconsin Ave Nw Suite 511 Washington DC 20015-2014 Ph: (202) 966-0620 |
| NPI Number | 1679914782 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 07/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679914782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5133 (District Of Columbia) | Primary |
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