BLAKE UPSHAW

CUMMING, GA
NPI1457766081
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: GA  DN014775)
Enumeration Date2014-06-23
Last Update Date2014-06-23
Business Address
Dr. BLAKE UPSHAW DMD
1200 BALD RIDGE MARINA RD SUITE 200
CUMMING, GA 30041-8526
Phone number: 770-781-8650
Mailing Address
Dr. BLAKE UPSHAW DMD
PO BOX 599
CUMMING, GA 30028-0599
Phone number: 770-781-8650
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