Individual
DR. WILLIAM RICHARD BLANCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
21 WEST CLARK ST, MILFORD, CT 06460-2517
(203) 877-4337
Mailing address
21 WEST CLARK ST, MILFORD, CT 06460-2517
(203) 877-4337
(203) 877-4337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G782
CT
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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