Individual
DR. CARL R. BLOHMKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
36 GATEWAY LN, MANORVILLE, NY 11949-2527
(631) 874-4972
Mailing address
36 GATEWAY LN, MANORVILLE, NY 11949-2527
(631) 874-4972
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
039868
NY
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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