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1801281241
ANDREW NICHOLAS BLACKWELL
WOODBURY, CT
NPI
1801281241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CT 11-610)
Enumeration Date
2015-04-02
Last Update Date
2020-12-03
Business Address
ANDREW NICHOLAS BLACKWELL D.M.D.
387 MAIN ST S
WOODBURY, CT 06798-3412
Phone number: 203-263-5300
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Mailing Address
ANDREW NICHOLAS BLACKWELL D.M.D.
100 PLEASANT DR
SOUTHBURY, CT 06488-3231
Phone number: 973-627-0896
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