Elizabeth Blake Orthodontics LLC

NPI #1013253061 in Hopkinton, Massachusetts

Provider Information

NPI Number: 1013253061
Entity Type: Organization
Organization Name: Elizabeth Blake Orthodontics LLC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Dec 19, 2012
Last Updated: Dec 19, 2012

Practice Location

Address: 77 MAIN ST
City: Hopkinton
State: Massachusetts
ZIP Code: 01748-3118
Phone: (352) 262-9532

Authorized Official

Name: DR. ELIZABETH BLAKE PELUSO, DMD, MDS
Title: ORTHODONTIST
Phone: (352) 262-9532

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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