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Search › Connecticut › 1223G0001X

Blake Ma, DMD

NPI 1225622830 · on the registry since 2021

Practice

Address
1355 Middletown Ave
Northford, CT 06472
Phone
(203) 484-0456
Organisation at this address
Northford Family Dental
Life Long Dental Care Of Northford Llc
Professional Dental Alliance Of Northford, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut