Blackstone Valley Dental Associates, LLC

NPI #1962575571 in Blackstone, Massachusetts

Provider Information

NPI Number: 1962575571
Entity Type: Organization
Organization Name: Blackstone Valley Dental Associates, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 15, 2006
Last Updated: Jul 22, 2008

Practice Location

Address: 12 MAIN ST
City: Blackstone
State: Massachusetts
ZIP Code: 01504-2202
Phone: (508) 883-1050

Authorized Official

Name: DR. TODD B HARRIS, D.M.D
Title: MANAGER
Phone: (508) 883-1050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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