CHRISTOPHER ALLEN BLAKE

BROOKFIELD, WI
NPI1831499532
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  5002097015)
Enumeration Date2010-10-27
Last Update Date2010-10-27
Business Address
Dr. CHRISTOPHER ALLEN BLAKE dds
17280 W NORTH AVE SUITE 102
BROOKFIELD, WI 53045-4366
Phone number: 262-789-9200
Mailing Address
Dr. CHRISTOPHER ALLEN BLAKE dds
17280 W NORTH AVE SUITE 102
BROOKFIELD, WI 53045-4366
Phone number: 262-789-9200