| Reyna-blanco Dental Corporation | |
|
12405 Ventura Blvd Studio City CA 91604-2407 | |
| (818) 518-9763 | |
| Not Available |
| Full Name | Reyna-blanco Dental Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12405 Ventura Blvd, Studio City, California |
| Authorized Official Name and Position | Oscar Humberto Reyna-blanco (ORTHODONTIST / CEO) |
| Authorized Official Contact | 5096998882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reyna-blanco Dental Corporation 1147 N Clark St Apt 105 West Hollywood CA 90069-2044 Ph: (509) 699-8882 | Reyna-blanco Dental Corporation 12405 Ventura Blvd Studio City CA 91604-2407 Ph: (818) 518-9763 |
| NPI Number | 1518846252 |
|---|---|
| Provider Enumeration Date | 08/28/2025 |
| Last Update Date | 08/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518846252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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