Marc F Bianco DMD

NPI 1073633368 - Dentist - 1223G0001X

NPI Details
NPI 1073633368
Gender Male
Enumeration Date 03/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1133 SE 122ND AVE
PORTLAND OR, 97233-1111, US
Phone (503) 252-1722
Fax (503) 293-0902
Business Location
1133 SE 122ND AVE
PORTLAND OR, 97233-1111, US
Phone (503) 252-1722
Fax (503) 293-0902
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number D6152
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According to our database, Dr. Marc F Bianco DMD NPI is 1073633368, taxonomy code is 1223G0001X and license number is D6152, license state is located at Oregon. Marc F Bianco DMD physically located at 1133 Se 122nd Ave, Portland OR, 97233-1111. NPI Number Marc F Bianco DMD has the Individual type.

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1073633368 NPI number is provided on an as is basis without warranty of any kind. 1073633368 is maintained by the National Plan & Provider Enumeration System. The contents of Marc F Bianco DMD are for informational purposes only.