Organization
MICHAEL D. BLEN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BLEN DDS (PRESIDENT)
(901) 415-2536
Entity
Organization
Contact information
Practice address
6363 POPLAR AVE STE 110, MEMPHIS, TN 38119-4802
(901) 415-2536
(901) 415-6292
Mailing address
6363 POPLAR AVE STE 110, MEMPHIS, TN 38119-4802
(901) 415-2536
(901) 415-6292
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/28/2013
Last updated
12/17/2015
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