DR. Michael D. Blen, DDS

NPI #1174511604 in Memphis, Tennessee

Provider Information

NPI Number
1174511604
Entity Type
Individual
Name
DR. Michael D. Blen, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Pediatric Dentistry
Credential
DDS
Enumeration Date
Oct 10, 2005
Last Updated
Jul 9, 2007

Practice Location

Address
6363 POPLAR AVE
Address 2
SUITE 110
ZIP Code
38119-4831
Phone
(901) 415-2536

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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