Individual
DR. CARL M BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14001 CHARTER PARK DRIVE, MIDLOTHIAN, VA 23114
(804) 379-1011
Mailing address
1612 HUGUENOT ROAD, MIDLOTHIAN, VA 23113
(804) 794-9789
(804) 419-1059
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401007313
VA
Other
Enumeration date
08/12/2006
Last updated
08/05/2021
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