Individual
DR. LELAND S. BLOUGH JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
33 COLLEGE HILL RD, BLDG #5, SUITE 5A, WARWICK, RI 02886-2776
(401) 828-3688
Mailing address
33 COLLEGE HILL RD, BLDG #5, SUITE 5A, WARWICK, RI 02886-2776
(401) 828-3688
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2455
RI
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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