Whalio Doctors

NPI 1073888798

Leland S Blough Jr DMD LTD

Organisation Oral and Maxillofacial Surgery (Dentist) Warwick, RI

Practice location

Address
33 College Hill Rd Suite 5a, Warwick, RI 02886-2776
Phone
(401) 828-3688
Fax
(401) 828-8588

Authorised official

Name
Leland S Blough
Title
President
Phone
(401) 828-3688

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary
Dental Providers Taxonomy 1223S0112X Licence 2455 (RI)

Registry record

NPI
1073888798
Entity type
Organization
NPI issued
13 Mar 2012
Record last updated
13 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.