Organization
WEST COAST SMILES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIEN BLANCO D.M.D (DENTIST/PRESIDENT)
(787) 891-3430
Entity
Organization
Contact information
Practice address
107 RD. 2.8 KM. 2053 BUILDING, SUITE #1, AGUADILLA, PR 00603
(787) 891-3430
(787) 891-6294
Mailing address
PO BOX 605-703, PMB#314, AGUADILLA, PR 00605
(787) 891-3430
(787) 891-6294
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2652
PR
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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