Organization
LINDA M BLASCHKE DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M BLASCHKE DMD (PRESIDENT)
(978) 433-3700
Entity
Organization
Contact information
Practice address
75 MAIN ST, PEPPERELL, MA 01463-1527
(978) 433-3700
Mailing address
75 MAIN ST, PEPPERELL, MA 01463-1527
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X12562
BLUE CROSS BLUE SHIELD MA
—
Enumeration date
03/06/2008
Last updated
03/06/2008
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