KENNETH ERWIN BLAKE

ALOHA, OR
NPI1346396264
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  5025)
Enumeration Date2007-01-25
Last Update Date2007-07-08
Business Address
Dr. KENNETH ERWIN BLAKE D.M.D.
3400 SW 187TH AVE SUITE 2
ALOHA, OR 97006-3131
Phone number: 503-642-2834
Mailing Address
Dr. KENNETH ERWIN BLAKE D.M.D.
3400 SW 187TH AVE SUITE 2
ALOHA, OR 97006-3131
Phone number: 503-642-2834
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