Individual
DR. MARIA D BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3415 LEE BLVD, LEHIGH ACRES, FL 33971-1576
(239) 344-2385
(239) 368-0288
Mailing address
PO BOX 919771, ORLANDO, FL 32891-9771
(239) 278-3600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 18769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015886400
—
FL
Enumeration date
02/23/2009
Last updated
07/06/2022
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