Blake Herbison
Blake Herbison is a General Practice Dentistry in Bothell, Washington. Licensed in Washington. Registered with an NPI since 2010.
- Licensed in
- WA
- In the registry since
- 2010
Practice location Address checks out
18520 101st Ave NEBothell, WA 98011-3804
Phone: (425) 486-2727
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DE00011059 (WA) |
|---|
Record details
| NPI number | 1689996340 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 23, 2010 |
| Last updated in NPPES | February 23, 2010 |
| Mailing address | 18520 101st Ave Ne, Bothell, WA 98011-3804 |
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