DR. Stephen Gary Blank, DDS

NPI #1003016791 in Port Saint Lucie, Florida

Provider Information

NPI Number
1003016791
Entity Type
Individual
Name
DR. Stephen Gary Blank, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jul 20, 2007
Last Updated
Jul 20, 2007

Practice Location

Address
184 NW CENTRAL PARK PLZ
State
Florida
ZIP Code
34986-2451
Phone
(772) 878-7348

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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