DR. Blake Edwin Moore, DDS is a pediatric dentistry dentist in Folsom, CA. The provider is 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. DR. Blake Edwin Moore, DDS NPI is 1801883756. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2190 E BIDWELL ST
FOLSOM, CA
ZIP 95630-453
Phone: (916) 984-0304
The enumeration date for this NPI number is 10/5/2005 and was last updated on 12/25/2019.