MRS. Theresa Marie Blake-Ireland, RDH

NPI #1104276518 in Waterville, Maine

Provider Information

NPI Number: 1104276518
Entity Type: Individual
Name: MRS. Theresa Marie Blake-Ireland, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jun 16, 2016
Last Updated: Jun 16, 2016

Practice Location

Address: 93 MAIN ST
City: Waterville
State: Maine
ZIP Code: 04901-6636
Phone: (207) 872-8891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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