Individual
DR. DIANELIS BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
4983 GOLDEN GATE PKWY, NAPLES, FL 34116-6972
(239) 455-1044
Mailing address
4983 GOLDEN GATE PKWY, NAPLES, FL 34116-6972
(239) 455-1044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 21265
FL
Other
Enumeration date
06/12/2015
Last updated
07/31/2020
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