Madelena Blasucci, DDS
Dentist in Orange, CA. Individual provider (NPI-1).
NPI number1760618367
StatusActive
Last updated in NPPESJun 9, 2009
Details
- NPI
- 1760618367
- Entity type
- Individual (NPI-1)
- Name
- Madelena Blasucci
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2009
- Last updated
- Jun 9, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 58310 | CA | Yes |
Practice location
530 S Main StOrange, CA 92868-4525
Phone 714-571-3682
Mailing address
530 S Main StOrange, CA 92868-4525
Phone 714-571-3682
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