Dr Christopher Blake SC
Dr Christopher Blake SC is a Dentist in Brookfield, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
17280 W North Ave Ste #102Brookfield, WI 53045-4336
Phone: (262) 789-9200
Fax: (262) 789-9213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 5002097015 (WI) |
|---|
Record details
| NPI number | 1386783488 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christopher Blake — Dentist President Of Service Corpor · (262) 789-9200 |
| NPI enumerated | February 5, 2007 |
| Last updated in NPPES | October 27, 2010 |
| Mailing address | 17280 W North Ave, Suite #102, Brookfield, WI 53045-4336 |
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