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Mike C Blankenship, DDS Valid NPI

Individual provider · General Practice Dentistry · Mebane, NC

NPI
1124008396
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
4323 (NC)
Sex
Male
Sole proprietor
Yes
Enumerated
2006-01-22
Last updated
2019-07-12
Practice location
106 Millstead Dr
Mebane, NC 27302-7165
(919) 563-4300

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