Organization
BLANCO DENTAL, INC
Active
Other names
Blanco Dental, INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALMA CAROLINA BLANCO REYES DDS (DENTIST)
(530) 274-0920
Entity
Organization
Contact information
Practice address
316 S AUBURN ST STE 5, GRASS VALLEY, CA 95945-7298
(530) 274-0920
(530) 274-8935
Mailing address
316 S AUBURN ST STE 5, GRASS VALLEY, CA 95945-7298
(530) 274-0920
(530) 274-8935
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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