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Stephen G. Blank, Dds, Pa
Dental Clinic/Center in Port St Lucie, Florida
NPI 1699256792

Stephen G. Blank, Dds, Pa is a Dental Clinic/Center based in Port St Lucie, FL and is specialized in Dental. Stephen G. Blank, Dds, Pa practices in Port St Lucie, FL. The NPI Number for Stephen G. Blank, Dds, Pa is 1699256792 and holds a License No. DN9155 (Florida).

The current practice location address for Stephen G. Blank, Dds, Pa is 184 Nw Central Park Plz, Port St Lucie, FL and can be reached out via phone at 772-878-7348.

Location: 184 Nw Central Park Plz, Port St Lucie, FL, 34986-2451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699256792
Provider Name
Stephen G. Blank, Dds, Pa
Credential
Provider Entity Type
Organization
Address
184 Nw Central Park Plz, Port St Lucie, FL, 34986-2451
Phone Number
772-878-7348
Fax Number
Provider Enumeration Date
08/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
184 Nw Central Park Plz
City
Port St Lucie
State
Florida
Zip
34986-2451
Phone Number
772-878-7348
Fax Number
person
Provider Business Mailing Address Details
Address
184 Nw Central Park Plz
City
Port St Lucie
State
Florida
Zip
34986-2451
Phone Number
772-878-7348
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
DN9155 (Florida)
Definition
Definition to come...
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