Individual
DR. JANICE IRENE BLOUGH-LABUDA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
444 NATIONAL HWY, LAVALE, MD 21502-7129
(301) 724-2978
(301) 724-6652
Mailing address
444 NATIONAL HWY, LAVALE, MD 21502-7129
(301) 724-2978
(301) 724-6652
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12554
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
811203
UCCI PROV. NUMBER
MD
Enumeration date
01/05/2006
Last updated
07/09/2007
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