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Individual
DR. THEODORE G DRUMMOND JR.
Active
Individual
DR. THEODORE G DRUMMOND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN02444
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14551
UHC
RI
01
—
83861
BCRF
RI
05
—
WD12167
—
RI
Enumeration date
04/09/2008
Last updated
04/09/2008
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