DR. Terry Cleve Blanks JR., DENTIST

NPI #1154660819 in Deland, Florida

Provider Information

NPI Number
1154660819
Entity Type
Individual
Name
DR. Terry Cleve Blanks JR., DENTIST
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DENTIST
Enumeration Date
Jan 31, 2013
Last Updated
Jan 31, 2013

Practice Location

Address
895 S. DEXTER AVE
City
Deland
State
Florida
ZIP Code
32720
Phone
(386) 738-2002

Specialties & Taxonomy Codes

Specialty
Dentist

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