Organization
KATHLEEN D. BLANC DDS INC
Active
Other names
Buckeye Denture Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN D BLANC D.D.S (OWNER)
(216) 485-1211
Entity
Organization
Contact information
Practice address
6750 BIDDULPH RD STE 105, BROOKLYN, OH 44144-3365
(216) 485-1211
Mailing address
6750 BIDDULPH RD STE 105, BROOKLYN, OH 44144-3365
(216) 485-1211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30020650
OH
Other
Enumeration date
06/03/2015
Last updated
07/16/2020
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