BLAKE C WULLBRANDT NPI 1700811734

NPI Information

BLAKE C WULLBRANDT is a pediatric dentistry dentist in Keene, NH. 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. BLAKE C WULLBRANDT NPI is 1700811734. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Children's Dental Care.

The provider's business location address is:

113 RAILROAD ST
KEENE, NH
ZIP 03431-747
Phone: (603) 357-6385
Fax: (603) 357-6960

The provider's authorized official is Blake Chester Wullbrandt .
The authorized official title is Owner and has the following contact phone number (603) 357-6385.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 6/12/2008.

Taxonomy Codes

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Other Identifiers

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