Derek Emerson Blank D.D.S

NPI 1134449127 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1134449127
Gender Male
Enumeration Date 06/02/2010
Last Updated 06/02/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2100 STANTONSBURG RD
GREENVILLE NC, 27834-2818, US
Phone (252) 744-4618
Fax (252) 744-4614
Business Location
2100 STANTONSBURG RD
GREENVILLE NC, 27834-2818, US
Phone (252) 744-4618
Fax (252) 744-4614
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Derek Emerson Blank D.D.S NPI is 1134449127, taxonomy code is 390200000X Derek Emerson Blank D.D.S physically located at 2100 Stantonsburg Rd, Greenville NC, 27834-2818. NPI Number Derek Emerson Blank D.D.S has the Individual type.

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1134449127 NPI number is provided on an as is basis without warranty of any kind. 1134449127 is maintained by the National Plan & Provider Enumeration System. The contents of Derek Emerson Blank D.D.S are for informational purposes only.