Organization
STEPHEN G. BLANK, DDS, PA
Active
Other names
Stephen G. Blank, DDS, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN G BLANK DDS (PRESIDENT)
(772) 878-7348
Entity
Organization
Contact information
Practice address
184 NW CENTRAL PARK PLZ, PORT ST LUCIE, FL 34986-2451
(772) 878-7348
Mailing address
184 NW CENTRAL PARK PLZ, PORT ST LUCIE, FL 34986-2451
(772) 878-7348
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN9155
FL
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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