Stephen Gary Blank DDS

NPI 1003016791 - Dentist - 1223G0001X

NPI Details
NPI 1003016791
Gender Male
Enumeration Date 07/20/2007
Last Updated 07/20/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
184 NW CENTRAL PARK PLZ
PORT SAINT LUCIE FL, 34986-2451, US
Phone (772) 878-7348
Fax (772) 878-7534
Business Location
184 NW CENTRAL PARK PLZ
PORT SAINT LUCIE FL, 34986-2451, US
Phone (772) 878-7348
Fax (772) 878-7534
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN9155
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According to our database, Dr. Stephen Gary Blank DDS NPI is 1003016791, taxonomy code is 1223G0001X and license number is DN9155, license state is located at Florida. Stephen Gary Blank DDS physically located at 184 Nw Central Park Plz, Port Saint Lucie FL, 34986-2451. NPI Number Stephen Gary Blank DDS has the Individual type.

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1003016791 NPI number is provided on an as is basis without warranty of any kind. 1003016791 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Gary Blank DDS are for informational purposes only.