SCOTT M BLAKE

IDAHO FALLS, ID
NPI1376684175
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0106X Dentist, Oral and Maxillofacial Pathology
(Licence: ID  D3728)
Enumeration Date2007-02-12
Last Update Date2015-10-15
Business Address
-- SCOTT M BLAKE DDS
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401-4322
Phone number: 208-523-2160
Mailing Address
-- SCOTT M BLAKE DDS
333 S WOODRUFF AVE
IDAHO FALLS, ID 83401-4322
Phone number: 208-523-2160
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