Individual
KEMEL JALIL BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4765 WEST 8TH AVE, 4TH FLOOR, HIALEAH, FL 33012
(305) 823-0902
(305) 823-0903
Mailing address
4765 WEST 8TH AVE, 4TH FLOOR, HIALEAH, FL 33012
(305) 823-0902
(305) 823-0903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN16312
FL
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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