DAVID BLANCO

PROVIDENCE, RI
NPI1376536730
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy122300000X Dentist
(Licence: RI  DEN02863)
Enumeration Date2005-08-31
Last Update Date2007-07-08
Business Address
MR. DAVID BLANCO
557 BROAD ST
PROVIDENCE, RI 02907-1403
Phone number: 401-444-0430
Mailing Address
MR. DAVID BLANCO
375 ALLENS AVE
PROVIDENCE, RI 02905-5010
Phone number: 401-444-0400
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