| Leland S Blough Jr Dmd Ltd | |
|
33 College Hill Rd Suite 5a Warwick RI 02886-2776 | |
| (401) 828-3688 | |
| (401) 828-8588 |
| Full Name | Leland S Blough Jr Dmd Ltd |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 33 College Hill Rd, Warwick, Rhode Island |
| Authorized Official Name and Position | Leland S Blough (PRESIDENT) |
| Authorized Official Contact | 4018283688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leland S Blough Jr Dmd Ltd 33 College Hill Rd Suite 5a Warwick RI 02886-2776 Ph: (401) 828-3688 | Leland S Blough Jr Dmd Ltd 33 College Hill Rd Suite 5a Warwick RI 02886-2776 Ph: (401) 828-3688 |
| NPI Number | 1073888798 |
|---|---|
| Provider Enumeration Date | 03/13/2012 |
| Last Update Date | 03/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073888798 | NPI | - | NPPES |
| 198008128 | Other | RI | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2455 (Rhode Island) | Primary |
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