Dr. Blanca Teresa Entrena, DDS
Dentist in Santa Maria, CA. Individual provider (NPI-1).
NPI number1851598528
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1851598528
- Entity type
- Individual (NPI-1)
- Name
- Dr. Blanca Teresa Entrena
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2007
- Certification date
- Oct 11, 2023
- Last updated
- Oct 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 52602 | CA | Yes |
| 1223G0001X | Dentist, General Practice | 52602 | CA |
Practice location
112 Park AveSanta Maria, CA 93455-4706
Phone 805-354-8985 · Fax 805-938-1199
Mailing address
112 Park AveSanta Maria, CA 93455-4706
Phone 805-354-8985 · Fax 805-938-1199
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