Individual
RAMIRO BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 AMESBURY ST, SUITE #108, LAWRENCE, MA 01840
(978) 686-5242
(978) 686-2733
Mailing address
100 AMESBURY ST, SUITE #108, LAWRENCE, MA 01840
(978) 686-5242
(978) 686-2733
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
17538
MA
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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