ALAN MAX BLAKE

ESTHERVILLE, IA
NPI1831243013
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IA  06008)
Enumeration Date2007-01-23
Last Update Date2007-07-08
Business Address
Dr. ALAN MAX BLAKE
808 N 9TH ST
ESTHERVILLE, IA 51334-1534
Phone number: 712-362-5454
Mailing Address
Dr. ALAN MAX BLAKE
808 N 9TH ST
ESTHERVILLE, IA 51334-1534
Phone number: 712-362-5454
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