Blake Daniel Entralgo, D.M.D Valid NPI
Individual provider · Dentist · Marlton, NJ
- NPI
- 1194002196
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 22DI02666400 (NJ)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2011-11-04
- Last updated
- 2018-05-03
Practice location
560a Lippincott Drive, Bldg B
Marlton, NJ 08053
(856) 985-1800