Individual
DR. MARC F BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1133 SE 122ND AVE, PORTLAND, OR 97233-1111
(503) 252-1722
(503) 293-0902
Mailing address
1133 SE 122ND AVE, PORTLAND, OR 97233-1111
(503) 252-1722
(503) 293-0902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6152
OR
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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