RICHARD W BLAKE DDS PA

JACKSONVILLE, FL
NPI1558701177
Entity TypeOrganization
Authorized ContactRICHARD WAYNE BLAKE
Owner/President
1904-743-2000
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: FL  0005634)
Enumeration Date2013-06-27
Last Update Date2013-06-27
Business Address
RICHARD W BLAKE DDS PA
943 CESERY BLVD STE D
JACKSONVILLE, FL 32211-5655
Phone number: 904-743-2000
Mailing Address
RICHARD W BLAKE DDS PA
943 CESERY BLVD STE D
JACKSONVILLE, FL 32211-5655
Phone number: 904-743-2000