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1831499532
CHRISTOPHER ALLEN BLAKE
BROOKFIELD, WI
NPI
1831499532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 5002097015)
Enumeration Date
2010-10-27
Last Update Date
2010-10-27
Business Address
Dr. CHRISTOPHER ALLEN BLAKE dds
17280 W NORTH AVE SUITE 102
BROOKFIELD, WI 53045-4366
Phone number: 262-789-9200
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Mailing Address
Dr. CHRISTOPHER ALLEN BLAKE dds
17280 W NORTH AVE SUITE 102
BROOKFIELD, WI 53045-4366
Phone number: 262-789-9200
Copy
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