Dr. BLAKE KEVIN ANDERSON DMD
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1235713140- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD
- Status
- Active
Contact & Location
- Address
- 828 NE A ST, GRANTS PASS, OR, 975262212
- Phone
- (916) 765-7036
Specialties & Taxonomies
Dentist
Primary License: OR #D11424