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1124199807
BLAKE R. HENRY
TULSA, OK
NPI
1124199807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: OK ORTHODONTIST #152)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
DR. BLAKE R. HENRY D.D.S., M.S.D.
7705 E 81ST ST
TULSA, OK 74133-4200
Phone number: 918-294-7705
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Mailing Address
DR. BLAKE R. HENRY D.D.S., M.S.D.
7705 E 81ST ST
TULSA, OK 74133-4200
Phone number: 918-294-7705
Copy
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