Individual provider · Type 1 NPI
Blake Clete Keen, DDS
General Practice Dentistry · Rancho Cucamonga, CA
NPI number
1033920400
Active
Practice location
9606 Base Line Rd
Rancho Cucamonga, CA 91701-5035
Fax (909) 989-6663
Mailing address
PO Box 9137
Rancho Cucamonga, CA 91701-1137
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 111167 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1033920400
Blake Clete Keen, DDS's National Provider Identifier is 1033920400, issued on Jan 15, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Jan 15, 2025.