Organization · Type 2 NPI

Blake C Wullbrandt

Pediatric Dentistry · Keene, NH

NPI number 1700811734 Active

Practice location

113 Railroad St
Keene, NH 03431-3747

Fax (603) 357-6960

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X3257 (NH)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2 other providers at this address

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About NPI 1700811734

Blake C Wullbrandt's National Provider Identifier is 1700811734, issued on Jul 11, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Keene, NH. The record was last updated on Jun 12, 2008.