| 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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