Individual
ROSA C BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4369 EVANS TO LOCKS RD, EVANS, GA 30809-4099
(706) 863-8198
Mailing address
4369 EVANS TO LOCKS RD, EVANS, GA 30809-4099
(706) 863-8198
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10760
GA
Other
Enumeration date
01/28/2007
Last updated
09/19/2011
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