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Individual

DR. JOSEPH LEON WINGATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
75 GILCREAST RD, STE 104, LONDONDERRY, NH 03053
(603) 434-5150
(603) 434-0072
Mailing address
75 GILCREAST RD, STE 104, LONDONDERRY, NH 03053
(603) 434-5150
(603) 434-0072

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1286
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020176240NH2
BCBS FEDERAL
NH
05
89191762
NH
01
XR0085
BCBS
MA
Enumeration date
08/13/2006
Last updated
07/08/2007
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