Individual provider · Type 1 NPI

Summer Lynn Blake, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Manhattan Beach, CA

NPI number 1578896445 Active

Practice location

451 Manhattan Beach Blvd, Suite #D-224
Manhattan Beach, CA 90266-5345

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	48703 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1578896445

Summer Lynn Blake, DDS's National Provider Identifier is 1578896445, issued on Sep 10, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Manhattan Beach, CA. The record was last updated on Mar 24, 2010.