Dr. Jorge Raul Blanco, D.D.S.
Dentist, General Practice in South Miami, FL. Individual provider (NPI-1).
NPI number1356516454
StatusActive
Last updated in NPPESApr 29, 2008
Details
- NPI
- 1356516454
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jorge Raul Blanco
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 29, 2008
- Last updated
- Apr 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 11775 | FL | Yes |
Practice location
7700 Sw 57th AveSouth Miami, FL 33143-5415
Phone 305-670-0352 · Fax 305-670-3352
Mailing address
7700 S.W. 57th AvenueSouth Miami, FL 33143-5415
Phone 305-670-0352 · Fax 305-670-3352
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