Organization
ELIZABETH BLAKE ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH BLAKE PELUSO DMD, MDS (ORTHODONTIST)
(352) 262-9532
Entity
Organization
Contact information
Practice address
77 MAIN ST, HOPKINTON, MA 01748-3118
(352) 262-9532
Mailing address
2 SILVA ST, MILFORD, MA 01757-3476
(352) 262-9532
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1855332
MA
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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