Blake, George Dale

Blake, George Dale is an individual health care provider with primary practice located at 229 Half Moon Way , Runaway Bay TX 76426-9773. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Blake, George Dale can be contacted via phone (940) 575-4185.

Contact Information

Primary practice address
229 Half Moon Way Runaway Bay TX 76426-9773
Phone: (940) 575-4185
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8400 Texas

Profile Details

NPI number 1720081268
LBN Legal business name Blake, George Dale
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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