BLAKE K ANDERSON DMD LLC

GRANTS PASS, OR
NPI1912571027
Entity TypeOrganization
Authorized ContactBLAKE K ANDERSON
Doctor/Owner
916-765-7036
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2021-05-14
Last Update Date2021-05-14
Business Address
BLAKE K ANDERSON DMD LLC
828 NE A ST
GRANTS PASS, OR 97526-2212
Phone number: 541-476-9792
Mailing Address
BLAKE K ANDERSON DMD LLC
4674 E FOXWOOD DR
EAGLE MOUNTAIN, UT 84005-6176
Phone number:
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