| NPI | 1487100160 |
|---|---|
| Doing Business As | BLANCO CIRCLE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | GARY PHILLIP KLUGMAN Sole Proprietor 831-422-7838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 26192) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |