Individual
DR. MICHAEL ERIC KORNBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2917 E 10TH ST, JEFFERSONVILLE, IN 47130-6916
(812) 284-2103
(812) 590-2077
Mailing address
2917 E 10TH ST, JEFFERSONVILLE, IN 47130-6916
(812) 284-2103
(812) 590-2077
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12012408A
IN
Other
Enumeration date
04/18/2013
Last updated
09/10/2015
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