Organization
GARRY J. BLOCH DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRY J. BLOCH DMD (PRESIDENT)
(412) 391-3003
Entity
Organization
Contact information
Practice address
355 5TH AVE, SUITE 1110, PITTSBURGH, PA 15222-2409
(412) 391-3003
(412) 391-3494
Mailing address
355 5TH AVE STE 1110, PITTSBURGH, PA 15222-2407
(412) 391-3003
(412) 391-3494
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS21239L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1319942
UNITED CONCORDIA PROVIDER
PA
Enumeration date
07/19/2006
Last updated
03/09/2016
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