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Individual
MS. MARLA C BLOUNT
Active
Individual
MS. MARLA C BLOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046958
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01742974
—
NY
Enumeration date
11/08/2005
Last updated
03/16/2016
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