Individual
DR. OSCAR HUMBERTO REYNA-BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
188 LONGWOOD AVE, OFFICE OF DENTAL EDUCATION, BOSTON, MA 02115-5819
(509) 699-8882
Mailing address
12 ELLERY ST APT 106, CAMBRIDGE, MA 02138-5346
(509) 699-8882
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857379
MA
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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