MR. Richard Blank, DDS

NPI #1205938693 in Bayside, New York

Provider Information

NPI Number: 1205938693
Entity Type: Individual
Name: MR. Richard Blank, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4645 BELL BLVD
City: Bayside
State: New York
ZIP Code: 11361-3322
Phone: (718) 229-7250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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