Individual
KARI BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1414 TEXAS ST, FORT WORTH, TX 76102-3426
(817) 336-2121
Mailing address
940 COTTON DEPOT LN, #448, FORT WORTH, TX 76102-5589
(210) 240-5715
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27017
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/24/2011
Last updated
03/26/2015
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