Individual
DR. DIANA ROSA BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
401 MIRACLE MILE, SUITE 209, CORAL GABLES, FL 33134
(305) 456-4592
(786) 360-6953
Mailing address
401 MIRACLE MILE, SUITE 209, CORAL GABLES, FL 33134
(305) 456-4592
(786) 360-6953
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN18471
FL
Other
Enumeration date
07/24/2008
Last updated
08/20/2010
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