| NPI | 1952947780 |
|---|---|
| Former Legal Business Name | N BLANCO DDS DENTAL CORPORATION INC |
| Entity Type | Organization |
| Authorized Contact | NUBIA A BLANCO Owner 626-919-2315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2020-05-13 |