Individual
DR. LEONICIA RASCHEL BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6725 W CENTRAL AVE STE M111, TOLEDO, OH 43617-1148
(623) 434-9343
Mailing address
2501 CHATHAM RD STE 4031, SPRINGFIELD, IL 62704-4188
(234) 400-9199
(216) 229-2501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401418036
VA
1223G0001X
General Practice Dentistry
24502
TX
1223G0001X
General Practice Dentistry
Primary
30-022848
OH
Other
Enumeration date
10/07/2008
Last updated
12/21/2023
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