BLAKE KUNIMOTO

SPRINGFIELD, IL
NPI1205056207
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019025927)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
-- BLAKE KUNIMOTO DDS
3124 MONTVALE DR
SPRINGFIELD, IL 62704-6937
Phone number: 217-546-8777
Mailing Address
-- BLAKE KUNIMOTO DDS
3807 WEXFORD DR
SPRINGFIELD, IL 62704-6715
Phone number:
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