Individual
MARION CATHARINE BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
65 HOSPITAL DR, SUITE 5, PETERSBURG, WV 26847-9549
(304) 257-4593
(304) 530-5160
Mailing address
PO BOX 97, BAKER, WV 26801-0097
(304) 897-5915
(304) 897-6216
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4113
WV
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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