EDUARDO C BLANCO DDS PA
Dentist at 26 Ave, Pompano Beach, FL

License number
Florida DN0013306
Category
Dentist
Type
Dentist
Owner
Name: DR. EDUARDO CARIDAD BLANCO DDS
Title: DENTIST OWNER
Phone: (954) 946-6626
Address
Address
50 NE 26Th Ave SUITE 403, Pompano Beach, FL 33062
National Provider ID: 1174605109
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EDUARDO C. BLANCO, D.D.S., PA

50 NE 26 Ave STE 403, Pompano Beach, FL 33062

Status:
Inactive
Industry:
Dentists, Endodontics
Doing business as:
Eduardo C Blanco PA<br>Eduardo C Blanco Pa - Kyung-Ja Baek DDS<br>Eduardo C. Blanco
Inactive reason:
Reinstatement
Registration:
Oct 9, 1995
Inactive since:
Apr 30, 2012
Phone:
(954) 946-6626 (Phone)
State ID:
P95000078766
Business type:
Florida Profit Corporation
Director, Secretary:
Eduardo C Blanco (Director, Secretary), 10970 NW 3, Fort Lauderdale, FL 33324 (Physical)
Agent:
Eduardo Blanco,10970 NW 3, Fort Lauderdale, FL 33324 (Physical)
EIN:
65-0626785
Categories:
Health Care Professionals, Mental Health, Mental Health Counselors, ...

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