VICTORIA ANNE BLACKHURST

BOSTON, MA
NPI1982198958
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: MA  DN1858465)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: MA  DN1858465)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-06-21
Last Update Date2022-03-07
Business Address
Dr. VICTORIA ANNE BLACKHURST DDS
1 KNEELAND ST
BOSTON, MA 02111-1527
Phone number: 302-507-3784
Mailing Address
Dr. VICTORIA ANNE BLACKHURST DDS
57 DWIGHT ST APT 2
BOSTON, MA 02118-3680
Phone number: 302-507-3784