Organization
REYNA-BLANCO DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR HUMBERTO REYNA-BLANCO DDS, MMSC (ORTHODONTIST / CEO)
(509) 699-8882
Entity
Organization
Contact information
Practice address
12405 VENTURA BLVD, STUDIO CITY, CA 91604-2407
(818) 518-9763
Mailing address
1147 N CLARK ST APT 105, WEST HOLLYWOOD, CA 90069-2044
(509) 699-8882
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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