NPI | 1962749523 |
---|---|
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 |