Blake, Renee Michelle

Blake, Renee Michelle is an sole proprietor health care provider with primary practice located at 4225 Mckinney Ave Apt 3 , Dallas TX 75205-4516. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Blake, Renee Michelle can be contacted via phone (214) 755-3590.

Contact Information

Primary practice address
4225 Mckinney Ave Apt 3 Dallas TX 75205-4516
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 23359 Texas

Profile Details

NPI number 1730375569
LBN Legal business name Blake, Renee Michelle
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2007
Last updated Feb 4th, 2010 - about 14 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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