Individual
DR. ROBERT CARL BLANKENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20997 LORAIN RD, FAIRVIEW PARK, OH 44126-2030
(440) 333-8883
(440) 333-5992
Mailing address
20997 LORAIN RD, FAIRVIEW PARK, OH 44126-2030
(440) 333-8883
(440) 333-5992
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-014493
OH
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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