Michael D. Blen DDS

NPI 1174511604 - Dentist - 1223P0221X

NPI Details
NPI 1174511604
Gender Male
Enumeration Date 10/10/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
6363 POPLAR AVE
SUITE 110
MEMPHIS TN, 38119-4831, US
Phone (901) 415-2536
Fax (901) 415-6292
Business Location
6363 POPLAR AVE
SUITE 110
MEMPHIS TN, 38119-4831, US
Phone (901) 415-2536
Fax (901) 415-6292
Toxanomy
Taxonomy Code 1223P0221X
License State Tennessee
License Number DS7318
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According to our database, Dr. Michael D. Blen DDS NPI is 1174511604, taxonomy code is 1223P0221X and license number is DS7318, license state is located at Tennessee. Michael D. Blen DDS physically located at 6363 Poplar Ave, Memphis TN, 38119-4831. NPI Number Michael D. Blen DDS has the Individual type.

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1174511604 NPI number is provided on an as is basis without warranty of any kind. 1174511604 is maintained by the National Plan & Provider Enumeration System. The contents of Michael D. Blen DDS are for informational purposes only.