Individual
DR. JEFFREY BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22 NORTH PRINCE ST, POTTSTOWN, PA 19464
(610) 327-2937
(610) 327-8243
Mailing address
75 FOXCRAFT LANE, PHOENIXVILLE, PA 19460
(610) 933-6411
(610) 327-8243
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS17608L
PA
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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