MR. David Blanco

NPI #1376536730 in Providence, Rhode Island

Provider Information

NPI Number: 1376536730
Entity Type: Individual
Name: MR. David Blanco
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Enumeration Date: Aug 31, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 557 BROAD ST
City: Providence
State: Rhode Island
ZIP Code: 02907-1403
Phone: (401) 444-0430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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