Individual
DR. MARK H BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1020 HAWTHORNE AVE, ATHENS, GA 30606-2141
(706) 546-7390
(706) 546-0806
Mailing address
1020 HAWTHORNE AVE, ATHENS, GA 30606-2141
(706) 546-7390
(706) 546-0806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010390
GA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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