Individual
JOHN WM BLANGIARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
146 COURT ST, PLYMOUTH, MA 02360
(508) 746-0740
(508) 746-0927
Mailing address
146 COURT ST, PLYMOUTH, MA 02360
(508) 746-0740
(508) 746-0927
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12519
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0249637
—
MA
Enumeration date
12/27/2006
Last updated
07/08/2007
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