| NPI | 1699256792 |
|---|---|
| Doing Business As | STEPHEN G. BLANK, DDS, PA |
| Entity Type | Organization |
| Authorized Contact | STEPHEN G BLANK President 772-878-7348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN9155) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |