Blake Ma, DMD
NPI #1225622830 in Northford, Connecticut
Provider Information
- NPI Number
- 1225622830
- Entity Type
- Individual
- Name
- Blake Ma, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Feb 24, 2021
- Last Updated
- Jul 7, 2023
Practice Location
- Address
- 1355 MIDDLETOWN AVE
- City
- Northford
- State
- Connecticut
- ZIP Code
- 06472-1382
- Phone
- (203) 484-0456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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