| Elizabeth Blake Orthodontics Llc | |
|
77 Main St Hopkinton MA 01748-3118 | |
| (352) 262-9532 | |
| Not Available |
| Full Name | Elizabeth Blake Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 77 Main St, Hopkinton, Massachusetts |
| Authorized Official Name and Position | Elizabeth Blake Peluso (ORTHODONTIST) |
| Authorized Official Contact | 3522629532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Blake Orthodontics Llc 2 Silva St Milford MA 01757-3476 Ph: (352) 262-9532 | Elizabeth Blake Orthodontics Llc 77 Main St Hopkinton MA 01748-3118 Ph: (352) 262-9532 |
| NPI Number | 1013253061 |
|---|---|
| Provider Enumeration Date | 12/19/2012 |
| Last Update Date | 12/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013253061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN1855332 (Massachusetts) | Primary |
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