BLAKE HERBISON

BOTHELL, WA
NPI1689996340
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE00011059)
Enumeration Date2010-02-23
Last Update Date2010-02-23
Business Address
-- BLAKE HERBISON
18520 101ST AVE NE
BOTHELL, WA 98011-3804
Phone number: 425-486-2727
Mailing Address
-- BLAKE HERBISON
18520 101ST AVE NE
BOTHELL, WA 98011-3804
Phone number:
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