Organization
ADVANCED DENTISTRY POWELL BY JAMES E BLANK DDS LLC
Active
Other names
Powell Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E BLANK DDS (OWNER DENTIST)
(614) 389-9715
Entity
Organization
Contact information
Practice address
9733 SAWMILL PKWY UNIT C, POWELL, OH 43065-6101
(614) 532-4350
Mailing address
9733 SAWMILL PKWY UNIT C, POWELL, OH 43065-6101
(614) 532-4350
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30.022073
DENTAL
OH
Enumeration date
07/01/2019
Last updated
07/01/2019
Update your record
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