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NPI Code Detail

MEDICARE: HARRY J BLANEK DDS, MS

MEDICARE:   HARRY J BLANEK  DDS, MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist7005TX

General Provider Information

NPI Number : 1639263437
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARRY J BLANEK DDS, MS
Provider Business Mailing Address
First Line : 2811 CLIFFSIDE DR
Second Line :
City : DALLAS
State : TX
Zip : 75227-6715
Country : US
Telephone Number : 214-381-6224
Fax Number :
Provider Business Practice Location Address
First Line : 3501 SHEPHERD LN
Second Line :
City : BALCH SPRINGS
State : TX
Zip : 75180-2325
Country : US
Telephone Number : 972-286-5711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/08/2007

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Directions to “ HARRY J BLANEK DDS, MS” Practice Location

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