DR. KENNETH BLAKE, D.M.D.

Dentist - General Practice

Active Individual
NPI: 1346396264

Practice Address

3400 SW 187TH AVE
SUITE 2
Aloha, OR 97006

Phone: (503) 642-2834

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 5025 (OR)

Frequently Asked Questions

NPI 1346396264 is the National Provider Identifier for DR. KENNETH BLAKE, D.M.D., a Dentist - General Practice provider located in Aloha, OR. This NPI was enumerated on January 25, 2007.
DR. KENNETH BLAKE, D.M.D. practices at 3400 SW 187TH AVE, SUITE 2, Aloha, OR 97006.

Quick Facts

NPI
1346396264
Type
Individual
Enumerated
Jan 25, 2007
Last Updated
Jul 8, 2007

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