Organization
BLANCHARD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD BLANCHARD DDS (PRESIDENT)
(702) 876-2525
Entity
Organization
Contact information
Practice address
2605 S DECATUR BLVD, 116, LAS VEGAS, NV 89102-8591
(702) 876-2525
Mailing address
2605 S DECATUR BLVD, 116, LAS VEGAS, NV 89102-8591
(702) 876-2525
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0461
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0461
DENTAL LICENSE NUMBER
NV
Enumeration date
12/13/2010
Last updated
12/13/2010
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