Individual
DR. LAWRENCE W BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15020 SHADY GROVE RD, SUITE 325, ROCKVILLE, MD 20850-3364
(301) 738-2111
(301) 738-6438
Mailing address
15020 SHADY GROVE ROAD, SUITE 325, ROCKVILLE, MD 20850
(301) 738-2111
(301) 738-6438
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10599
MD
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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