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Individual

DR. THOMAS GERARD BLANKENAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
5945 SO. 56TH ST. STE. 101, LINCOLN, NE 68516-3394
(402) 423-9344
(402) 423-5662
Mailing address
6754 OLD DOMINION RD., LINCOLN, NE 68516-5451
(402) 420-1002

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5250
NE

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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