Individual provider · NPI-1
Marien Blanco, D.M.D
Dentist · Aguadilla, PR
NPI number1881795698
StatusActive
Last updated in NPPESDec 20, 2011
Details
- NPI
- 1881795698
- Entity type
- Individual (NPI-1)
- Name
- Marien Blanco
- Credential
- D.M.D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2006
- Last updated
- Dec 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2652 | PR | Yes |
Practice location
2053 Ave Pedro Albizu CamposSuite #1
Aguadilla, PR 00603-5950
Phone 787-891-3430 · Fax 787-891-6294
Mailing address
2053 Ave Pedro Albizu CamposSuite 2 Pmb 115
Aguadilla, PR 00603-5950
Phone 787-891-3430 · Fax 787-891-6294
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