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Organization
BLANCO DENTAL, INC
Active
Organization
BLANCO DENTAL, INC
Active
Other names
Blanco Dental, INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALMA CAROLINA BLANCO REYES DDS (DENTIST)
(530) 274-0920
Entity
Organization
Contact information
Practice address
316 S AUBURN ST STE 5, GRASS VALLEY, CA 95945-7298
(530) 274-0920
(530) 274-8935
Mailing address
316 S AUBURN ST STE 5, GRASS VALLEY, CA 95945-7298
(530) 274-0920
(530) 274-8935
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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