Individual
DR. FARID BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4410 W 16TH AVE, STE 31, HIALEAH, FL 33012-7835
(305) 747-7711
(305) 697-9785
Mailing address
PO BOX 440308, MIAMI, FL 33144-0308
(786) 393-6875
(305) 697-9785
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17752
FL
Other
Enumeration date
01/23/2009
Last updated
11/25/2019
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