Blackstone Valley Dental Associates, Llc | |
12 Main St Blackstone MA 01504-2202 | |
(508) 883-1050 | |
(508) 883-0911 |
Full Name | Blackstone Valley Dental Associates, Llc |
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Speciality | Dentist - General Practice |
Location | 12 Main St, Blackstone, Massachusetts |
Authorized Official Name and Position | Todd B Harris (MANAGER) |
Authorized Official Contact | 5088831050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blackstone Valley Dental Associates, Llc 12 Main St Blackstone MA 01504-2202 Ph: (508) 883-1050 | Blackstone Valley Dental Associates, Llc 12 Main St Blackstone MA 01504-2202 Ph: (508) 883-1050 |
NPI Number | 1962575571 |
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Provider Enumeration Date | 11/15/2006 |
Last Update Date | 07/22/2008 |
Identifier | Type | State | Issuer |
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1962575571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 16536 (Massachusetts) | Primary |
1223G0001X | Dentist - General Practice | 19827 (Massachusetts) | Secondary |