NPI | 1780828855 |
---|---|
Doing Business As | BAY COLONY DENTISTRY |
Entity Type | Organization |
Authorized Contact | DEBORAH RYAN BLANCHARD Dentist Owner 757-321-1300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410872) |
Enumeration Date | 2009-04-20 |
Last Update Date | 2011-01-13 |