Blake Ferando, DMD Valid NPI
Individual provider · Dentist · O Fallon, MO
- NPI
- 1306295308
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 019.030670 (IL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2016-06-09
- Last updated
- 2018-12-10
Practice location
346 Fort Zumwalt Sq
O Fallon, MO 63366-3065
(636) 978-6400