Organization
BLANCO FAMILY DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SCOTT (PRESIDENT)
(214) 390-9948
Entity
Organization
Contact information
Practice address
12042 BLANCO RD, SUITE 300, SAN ANTONIO, TX 78216-5440
(210) 349-9800
Mailing address
12042 BLANCO RD, SUITE 300, SAN ANTONIO, TX 78216-5440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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