Individual
DR. EARL JORDAN BLANCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1545
(951) 283-0518
Mailing address
975 VIA BLAIRO, CORONA, CA 92879-8253
(951) 283-0518
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS101128
CA
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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