ROBERT EDWARD BLAKE

FAYETTEVILLE, GA
NPI1407864440
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: GA  7991)
Enumeration Date2006-08-04
Last Update Date2007-07-08
Business Address
Dr. ROBERT EDWARD BLAKE D.D.S.,M.S.
104 N PARK DR
FAYETTEVILLE, GA 30214-1645
Phone number: 770-461-9931
Mailing Address
Dr. ROBERT EDWARD BLAKE D.D.S.,M.S.
104 N PARK DR
FAYETTEVILLE, GA 30214-1645
Phone number: 770-461-9931
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