| NPI | 1215502497 |
|---|---|
| Doing Business As | BLANCO DENTAL, INC |
| 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 |