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MARIEN BLANCO D.M.D

>> Dentist >> Dental Providers

Registrant NPI Number: 1881795698

Individual Registrant:
 MARIEN  BLANCO D.M.D
Gender: F
Sole Proprietor

Location and contact information for practice:
2053 AVE PEDRO ALBIZU CAMPOS SUITE #1 AGUADILLA, PR 00603-5950 US
Tel: 787-891-3430  Fax: 787-891-6294

Contact information for business:
2053 AVE PEDRO ALBIZU CAMPOS SUITE 2 PMB 115 AGUADILLA, PR 00603-5950 US
Tel: 787-891-3430  Fax: 787-891-6294

Registration Information:
NPI: 1881795698
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
PR2652

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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