Individual
DR. PETER J BLANK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
192 PROFESSIONAL CT, HEBRON, IN 46341-8948
(219) 996-5606
(219) 996-5601
Mailing address
192 PROFESSIONAL CT, HEBRON, IN 46341-8948
(219) 996-5606
(219) 996-5601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009167
IN
Other
Enumeration date
06/16/2005
Last updated
07/08/2007
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