# JASMYN BLANCAFLOR DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508633066
- **Authorized official:** JASMYN BLANCAFLOR DMD (DENTIST)
- **Authorized official phone:** (509) 499-9425

## Contact information

- **Practice address:** 1911 QUEEN ANNE AVE N, SEATTLE, WA 98109-2549
- **Practice address phone:** (509) 499-9425
- **Mailing address:** 5229 38TH AVE SW UNIT C, SEATTLE, WA 98126-2870
- **Mailing address phone:** (509) 499-9425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/05/2023
- **Last updated:** 12/05/2023