Ryan D. Blissett, D.m.d., P.c.

NPI 1164651550 - Clinic/Center - 261QD0000X

NPI Details
NPI 1164651550
Enumeration Date 07/07/2009
Last Updated 07/07/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name RYAN DOUGLAS RYAN
Position PROSTHODONTIST
Phone (617) 738-1950
Fax (617) 734-0673
Practice Location
1540 BEACON ST
BROOKLINE MA, 02446-2215, US
Phone (617) 738-1950
Fax (617) 734-0673
Business Location
60 JOY ST
#204
BOSTON MA, 02114-4008, US
Phone (857) 753-4114
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Massachusetts
License Number 21630
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According to our database, Ryan D. Blissett, D.m.d., P.c. NPI is 1164651550, taxonomy code is 261QD0000X and license number is 21630, license state is located at Massachusetts. Ryan D. Blissett, D.m.d., P.c. physically located at 1540 Beacon St, Brookline MA, 02446-2215. NPI Number 1033115704 has the healthcare provider type.

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1164651550 NPI number is provided on an as is basis without warranty of any kind. 1164651550 is maintained by the National Plan & Provider Enumeration System. The contents of Ryan D. Blissett, D.m.d., P.c. are for informational purposes only.