| NPI | 1073954228 |
|---|---|
| Doing Business As | BLANCO SMILES DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JUSTIN JOSIAH GONZALEZ President 210-341-7116 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 22242) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |