Organization
ED BLANTON, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESMOND EDWARD BLANTON (OWNER)
(352) 728-6600
Entity
Organization
Contact information
Practice address
2149 US HIGHWAY 441, LEESBURG, FL 34748-2541
(352) 728-6600
(352) 728-0585
Mailing address
2149 US HIGHWAY 441, LEESBURG, FL 34748-2541
(352) 728-6600
(352) 728-0585
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN0007820
FL
Other
Enumeration date
02/01/2006
Last updated
07/13/2007
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