DR. Peter J Lodge, D.M.D.

NPI #1083779144 in Narragansett, Rhode Island

Provider Information

NPI Number: 1083779144
Entity Type: Individual
Name: DR. Peter J Lodge, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Dec 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 28 CASWELL ST
City: Narragansett
State: Rhode Island
ZIP Code: 02882-3385
Phone: (401) 789-3010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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