Thomas J and Effie K Blue, Dmd, PA
NPI #1194124339 in W Melbourne, Florida
Provider Information
- NPI Number
- 1194124339
- Entity Type
- Organization
- Organization Name
- Thomas J and Effie K Blue, Dmd, PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 13, 2014
- Last Updated
- Aug 13, 2014
Practice Location
- Address
- 575 S WICKHAM RD
- Address 2
- SUITE D
- City
- W Melbourne
- State
- Florida
- ZIP Code
- 32904-1170
- Phone
- (321) 768-0991
Authorized Official
- Name
- DR. THOMAS J BLUE, D.M.D.
- Title
- OWNER/DENTIST
- Phone
- (321) 768-0991
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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