Richard Blank, dds
Dentist in Bayside, NY. Individual provider (NPI-1).
NPI number1205938693
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1205938693
- Entity type
- Individual (NPI-1)
- Name
- Mr. Richard Blank
- Credential
- dds
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 5, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 026829 | NY | Yes |
Practice location
4645 Bell BlvdBayside, NY 11361-3322
Phone 718-229-7250
Mailing address
4645 Bell BlvdBayside, NY 11361-3322
Phone 718-229-7250
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All 39 Dentist providers in Bayside · All 1,933 providers in Bayside
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