Organization
CARVER SMILES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP EARL BLEAK DDS (PRESIDENT)
(801) 557-1116
Entity
Organization
Contact information
Practice address
300 TREMONT ST STE 6, CARVER, MA 02330-1761
(508) 866-5550
Mailing address
300 TREMONT ST STE 6, CARVER, MA 02330-1761
(508) 866-5550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855376
MA
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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