Organization
BLAIN DENTISTRY PC
Active
Other names
Dr Carla Blain DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLA MAJORIE BLAIN DMD (PRESIDENT)
(516) 282-5100
Entity
Organization
Contact information
Practice address
229 POST AVE, WESTBURY, NY 11590-3021
(516) 282-5100
Mailing address
1311 JACKSON AVE, #10D, LONG ISLAND CITY, NY 11101-5436
(516) 282-5100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050759
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242008
—
NY
Enumeration date
08/20/2006
Last updated
03/15/2008
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