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1215502497
BLANCO DENTAL, INC
GRASS VALLEY, CA
NPI
1215502497
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Entity Type
Organization
Authorized Contact
ALMA CAROLINA BLANCO REYES
Dentist
530-274-0920
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2021-05-20
Last Update Date
2021-05-20
Business Address
BLANCO DENTAL, INC
316 S AUBURN ST STE 5
GRASS VALLEY, CA 95945-7298
Phone number: 530-274-0920
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Mailing Address
BLANCO DENTAL, INC
316 S AUBURN ST STE 5
GRASS VALLEY, CA 95945-7298
Phone number: 530-274-0920
Copy
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