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1194002196
BLAKE DANIEL ENTRALGO
MARLTON, NJ
NPI
1194002196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NJ 22DI02666400)
Enumeration Date
2011-11-04
Last Update Date
2018-05-03
Business Address
Dr. BLAKE DANIEL ENTRALGO D.M.D
560A LIPPINCOTT DRIVE BLDG B
MARLTON, NJ 08053
Phone number: 856-985-1800
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Mailing Address
Dr. BLAKE DANIEL ENTRALGO D.M.D
560A LIPPINCOTT DRIVE BLDG B
MARLTON, NJ 08053
Phone number: 856-985-1800
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