Mcray, Blake Wesley

Mcray, Blake Wesley is an individual health care provider with primary practice located at 1309 Tennessee St , Vallejo CA 94590-4645. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Mcray, Blake Wesley can be contacted via phone (707) 642-3636.

Contact Information

Primary practice address
1309 Tennessee St Vallejo CA 94590-4645
Phone: (707) 642-3636
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 23415 Texas
Dental Providers / Dentist 122300000X 57025 California

Profile Details

NPI number 1437348034
LBN Legal business name Mcray, Blake Wesley
Credentials D.D.S., M.S.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2007
Last updated Jul 16th, 2013 - about 11 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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