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Organization

BLACKSTONE VALLEY DENTAL ASSOCIATES, LLC

Active
Other names
Blackstone Valley Dental Associates, P.C.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TODD B HARRIS D.M.D (MANAGER)
(508) 883-1050
Entity
Organization

Contact information

Practice address
12 MAIN ST, BLACKSTONE, MA 01504-2202
(508) 883-1050
(508) 883-0911
Mailing address
12 MAIN ST, BLACKSTONE, MA 01504-2202
(508) 883-1050
(508) 883-0911

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16536
MA
1223G0001X
General Practice Dentistry
19827
MA

Other

Enumeration date
11/15/2006
Last updated
07/22/2008
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