Individual
DENNIS BLOCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
6713 FRESH POND RD, RIDGEWOOD, NY 11385-4505
(718) 381-5150
Mailing address
6713 FRESH POND RD, RIDGEWOOD, NY 11385-4505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
030705
NY
Other
Enumeration date
11/22/2005
Last updated
07/09/2007
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