Individual
DR. DUANGKAMOL BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, DMD
Contact information
Practice address
1 KNEELAND ST RM 223, BOSTON, MA 02111-1527
(617) 636-6585
Mailing address
1 KNEELAND ST RM 223, BOSTON, MA 02111-1527
(617) 636-6585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DL11471
MA
1223P0700X
Prosthodontics
Primary
DF11614
MA
Other
Enumeration date
12/06/2011
Last updated
05/26/2021
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