Individual
DR. JORGE L BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
7801 CORAL WAY, SUITE # 100, MIAMI, FL 33155-6538
(305) 262-4604
Mailing address
PO BOX 440308, SUITE # 100, MIAMI, FL 33144-0308
(786) 393-6875
(305) 697-9785
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN16115
FL
Other
Enumeration date
03/03/2008
Last updated
03/28/2017
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