Individual
DR. PETER J LODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
28 CASWELL ST, NARRAGANSETT, RI 02882-3385
(401) 789-3010
(401) 789-5159
Mailing address
28 CASWELL ST, NARRAGANSETT, RI 02882-3385
(401) 789-3010
(401) 789-5159
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1652
RI
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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