Organization
PRO-HYGIENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BLANK DDS (OWNER)
(410) 799-2692
Entity
Organization
Contact information
Practice address
8182 LARK BROWN RD, STE 101, ELKRIDGE, MD 21075-6428
(410) 799-2692
Mailing address
PO BOX 559, MOUNT AIRY, MD 21771-0559
(410) 799-2692
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08363
MD
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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