Individual
DR. MERISSA BLAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11316 76TH RD # 1, FOREST HILLS, NY 11375-7236
(401) 762-1919
Mailing address
77 HAVEMEYER LN, UNIT 90, STAMFORD, CT 06902-2153
(401) 263-5113
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
054501-1
NY
Other
Enumeration date
09/11/2008
Last updated
05/17/2016
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