Provider Demographics
NPI:1891915195
Name:BLANCO-PLARD, ARTURO LUIS (DMD, MSD)
Entity Type:Individual
Prefix:DR
First Name:ARTURO
Middle Name:LUIS
Last Name:BLANCO-PLARD
Suffix:
Gender:M
Credentials:DMD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2053 PONCE BY PASS
Mailing Address - Street 2:STE 202
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-1308
Mailing Address - Country:US
Mailing Address - Phone:787-844-2522
Mailing Address - Fax:787-844-2522
Practice Address - Street 1:2053 PONCE BY PASS
Practice Address - Street 2:STE 202
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1308
Practice Address - Country:US
Practice Address - Phone:787-844-2522
Practice Address - Fax:787-844-2522
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16171223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics