| Daniel Mark Blanco DMD Inc | |
|
2112 Deer Haven Dr Chino Hills CA 91709-4853 | |
| (909) 979-7756 | |
| Not Available |
| Full Name | Daniel Mark Blanco DMD Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2112 Deer Haven Dr, Chino Hills, California |
| Authorized Official Name and Position | Daniel Blanco (DENTIST) |
| Authorized Official Contact | 9099797756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Mark Blanco DMD Inc 2112 Deer Haven Dr Chino Hills CA 91709-4853 Ph: (909) 979-7756 | Daniel Mark Blanco DMD Inc 2112 Deer Haven Dr Chino Hills CA 91709-4853 Ph: (909) 979-7756 |
| NPI Number | 1295565042 |
|---|---|
| Provider Enumeration Date | 08/06/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295565042 | NPI | - | NPPES |
| 102496 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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