Organization · Type 2 NPI

Dr. Janice I. Blough-Labuda, Dmd, PA

Dental Clinic/Center · Lavale, MD

NPI number 1104154376 Active

Practice location

444 National Hwy
Lavale, MD 21502-7129

Fax (301) 724-6652

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X12554 (MD)

Dental Clinic/Center: Definition to come...

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About NPI 1104154376

Dr. Janice I. Blough-Labuda, Dmd, PA's National Provider Identifier is 1104154376, issued on Nov 30, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lavale, MD. The record was last updated on Nov 30, 2009.