Organization · Type 2 NPI
Brandon Blake DDS PA
Dental Clinic/Center · Banner Elk, NC
NPI number
1639686736
Active
Practice location
122 Hardees Ln
Banner Elk, NC 28604-9683
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 8380 (NC) |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Banner Elk
About NPI 1639686736
Brandon Blake DDS PA's National Provider Identifier is 1639686736, issued on Jan 10, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Banner Elk, NC. The record was last updated on Jan 10, 2018.