Organization
L B DENTAL P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS A. BLANCO DDS (OWNER)
(914) 935-0588
Entity
Organization
Contact information
Practice address
220 WESTCHESTER AVE, 1ST FLOOR, PORT CHESTER, NY 10573-4557
(914) 935-0588
(914) 935-0445
Mailing address
220 WESTCHESTER AVE, 1ST FLOOR, PORT CHESTER, NY 10573-4557
(914) 935-0588
(914) 935-0445
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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