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Organization
THOMAS J AND EFFIE K BLUE, DMD, PA
Active
Organization
THOMAS J AND EFFIE K BLUE, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J BLUE D.M.D. (OWNER/DENTIST)
(321) 768-0991
Entity
Organization
Contact information
Practice address
575 S WICKHAM RD, SUITE D, W MELBOURNE, FL 32904-1170
(321) 768-0991
(321) 727-7909
Mailing address
575 S WICKHAM RD, SUITE D, W MELBOURNE, FL 32904-1170
(321) 768-0991
(321) 727-7909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN9554
FL
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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