DR. Melissa J Blank, D.D.S

NPI #1255643391 in De Witt, Iowa

Provider Information

NPI Number: 1255643391
Entity Type: Individual
Name: DR. Melissa J Blank, D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Jul 6, 2010
Last Updated: Jul 6, 2010

Practice Location

Address: 907 11TH ST
City: De Witt
State: Iowa
ZIP Code: 52742-1207
Phone: (563) 659-3411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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