| NPI | 1932446580 |
|---|---|
| Former Legal Business Name | LIGIA I. BLANCO DDS INC. |
| Entity Type | Organization |
| Authorized Contact | MARIO SOTO CEO 626-419-7895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34932) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |