Daniel Mark Blanco Dmd Inc | |
2112 Deer Haven Dr Chino Hills CA 91709-4853 | |
(909) 979-7756 | |
Not Available |
Full Name | Daniel Mark Blanco Dmd Inc |
---|---|
Speciality | Dentist - General Practice |
Location | 2112 Deer Haven Dr, Chino Hills, California |
Authorized Official Name and Position | Daniel Blanco (DENTIST) |
Authorized Official Contact | 9099797756 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Daniel Mark Blanco Dmd Inc 2112 Deer Haven Dr Chino Hills CA 91709-4853 Ph: (909) 979-7756 | Daniel Mark Blanco Dmd Inc 2112 Deer Haven Dr Chino Hills CA 91709-4853 Ph: (909) 979-7756 |
NPI Number | 1295565042 |
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Provider Enumeration Date | 08/06/2024 |
Last Update Date | 08/14/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295565042 | NPI | - | NPPES |
102496 | Other | CA | DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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