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Contact Information

DAVID BLANCO
557 BROAD ST
PROVIDENCE, RI02907-1403
 Phone: 401-444-0430
 Fax: 401-444-0489
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for DAVID BLANCO · (Male)

NPI Number 1376536730
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • RI License # DEN02863
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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