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1124510482
DANIEL MARK BLANCO
SAN DIEGO, CA
NPI
1124510482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 102496)
Enumeration Date
2018-06-03
Last Update Date
2019-08-30
Business Address
Dr. DANIEL MARK BLANCO DMD
9912 CARMEL MOUNTAIN RD STE B
SAN DIEGO, CA 92129-2808
Phone number: 858-538-9182
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Mailing Address
Dr. DANIEL MARK BLANCO DMD
4910 LONGFORD ST APT 5
SAN DIEGO, CA 92117-2159
Phone number: 909-979-7756
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