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Organization

DANIEL MARK BLANCO DMD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL BLANCO DMD (DENTIST)
(909) 979-7756
Entity
Organization

Contact information

Practice address
2112 DEER HAVEN DR, CHINO HILLS, CA 91709-4853
(909) 979-7756
Mailing address
2112 DEER HAVEN DR, CHINO HILLS, CA 91709-4853
(909) 979-7756

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102496
DENTAL LICENSE
CA
Enumeration date
08/06/2024
Last updated
08/14/2024
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