STEPHEN JOSEPH BLAKE

WATERFORD, MI
NPI1184668683
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: MI  13386)
Enumeration Date2006-06-15
Last Update Date2007-07-08
Business Address
DR. STEPHEN JOSEPH BLAKE DDS
1101 W HURON ST
WATERFORD, MI 48328-3736
Phone number: 248-681-8100
Mailing Address
DR. STEPHEN JOSEPH BLAKE DDS
12162 DENTON VIEW DR
FENTON, MI 48430-2504
Phone number: 810-750-5276