BLAKE LATENDRESSE

BELLEVUE, NE
NPI1285369157
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: NE  7846)
Enumeration Date2022-07-23
Last Update Date2022-07-23
Business Address
DR. BLAKE LATENDRESSE DDS
1004 LINCOLN RD STE 100
BELLEVUE, NE 68005-2341
Phone number: 402-293-1176
Mailing Address
DR. BLAKE LATENDRESSE DDS
6462 POPPLETON AVE
OMAHA, NE 68106-1542
Phone number:
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