Leland S Blough Jr Dmd Ltd
NPI #1073888798 in Warwick, Rhode Island
Provider Information
- NPI Number
- 1073888798
- Entity Type
- Organization
- Organization Name
- Leland S Blough Jr Dmd Ltd
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Mar 13, 2012
- Last Updated
- Mar 13, 2012
Practice Location
- Address
- 33 COLLEGE HILL RD
- Address 2
- SUITE 5A
- City
- Warwick
- State
- Rhode Island
- ZIP Code
- 02886-2776
- Phone
- (401) 828-3688
Authorized Official
- Name
- DR. LELAND S BLOUGH JR., DMD
- Title
- PRESIDENT
- Phone
- (401) 828-3688
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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