Kelli Blank, D.M.D

NPI 1730475617 · on the registry since 2011 · sole proprietor

Practice

Address: 607 W Orchard St
Vandalia, IL 62471
Phone: (618) 283-2929
Fax: (618) 283-2113
Organisation at this address: Mid America Dental Llc
Midamerica Center For Dental Wellness & Aesthetics Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Dentist
122300000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois