-- SCOTT M BLAKE -- DDS
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Pathology
Provider Information
- NPI Number
1376684175- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS
- Status
- Active
Contact & Location
- Address
- 333 S WOODRUFF AVE, IDAHO FALLS, ID, 834014322
- Phone
- (208) 523-2160
- Fax
- (208) 552-8079
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Pathology
Primary License: ID #D3728