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Samuel Bleakley, D.D.S
NPI 1023034204 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1601 Mchenry Village Way Ste 1
Modesto, CA 95350 - Phone
- (209) 577-1313
- Fax
- (209) 577-8584
- Organisation at this address
- Brent Ricks Dpm
Rimmie K Pandher Dmd Inc
Fitzpatrick ,Mary,Dds Inc
Erase Haus Advanced Practice Nursing CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California