Individual
DR. DAMIEN PHILLIPS BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
275 S CHICKASAW TRL STE 2, ORLANDO, FL 32825-3505
(407) 434-0243
Mailing address
5981 BENT PINE DR APT 1728, ORLANDO, FL 32822-3392
(305) 742-3345
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
35798
TX
1223G0001X
General Practice Dentistry
Primary
DN24508
FL
Other
Enumeration date
08/13/2019
Last updated
08/28/2023
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