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Organization
STEPHEN G. BLANK, DDS, PA
Active
Organization
STEPHEN G. BLANK, DDS, PA
Active
Other names
Stephen G. Blank, DDS, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN G BLANK DDS (PRESIDENT)
(772) 878-7348
Entity
Organization
Contact information
Practice address
184 NW CENTRAL PARK PLZ, PORT ST LUCIE, FL 34986-2451
(772) 878-7348
Mailing address
184 NW CENTRAL PARK PLZ, PORT ST LUCIE, FL 34986-2451
(772) 878-7348
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN9155
FL
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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