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Dr. Blake Edwin Moore

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NPI Number Detailed Information

Provider Information:

Name: Dr. Blake Edwin Moore
Gender: M
Provider License Number If Given: 64252

NPI Information:

NPI: 1801883756
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 10/5/2005

Last Update Date: 12/25/2019

Provider Business Mailing Address:

Address: 2190 E BIDWELL ST
Folsom, CA 95630
Phone Number: 9169840304
Fax Number:

Provider Business Practice Location Address:

Address: 2190 E BIDWELL ST
Folsom, CA 95630
Phone Number: 9169840304
Fax Number:

Provider Taxonomy:

Primary: 1223P0221X
Secondary (if any):
State: CA

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About Dr. Blake Edwin Moore

Dr. Blake Edwin Moore (DR. BLAKE EDWIN MOORE ) is An Dentist Physician in Folsom, CA. The NPI Number for Dr. Blake Edwin Moore is 1801883756.
The current location address for Dr. Blake Edwin Moore is 2190 E BIDWELL ST Folsom, CA 95630 and the contact number is 9169840304 and fax number is . The mailing address for Dr. Blake Edwin Moore is 2190 E BIDWELL ST Folsom, CA 95630- 9169840304 (mailing address contact number - 9169840304).
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.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Blake Edwin Moore ?


Answer: The NPI Number for Dr. Blake Edwin Moore is 1801883756

Where is Dr. Blake Edwin Moore located?


Answer: Dr. Blake Edwin Moore is located at 2190 E BIDWELL ST Folsom, CA 95630.

What is the specialty for Dr. Blake Edwin Moore ?


Answer: The Specialty of Dr. Blake Edwin Moore is An Dentist Physician.

Are there any online reviews for Dr. Blake Edwin Moore ?


Answer: Not yet!

Are there any other health care providers in Folsom, CA?


Answer: Yes, there are given below...

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