Organization
149 DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMIL BLANK DDS (DENTIST)
(718) 402-2240
Entity
Organization
Contact information
Practice address
385 E 149 ST, BRONX, NY 10455-3902
(718) 402-2240
(718) 402-2250
Mailing address
385 E 149 ST, BRONX, NY 10455-3902
(718) 402-2240
(718) 402-2250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01485996
—
NY
Enumeration date
12/12/2008
Last updated
12/12/2008
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