person
Dr. Jessica Leigh Bogucki, DMD
Student in an Organized Health Care Education/Training Program in Providence, Rhode Island
NPI 1083977672

Jessica Leigh Bogucki is a Student in an Organized Health Care Education/Training Program based in Providence, RI. Jessica Leigh Bogucki practices in Providence, RI and has the professional credentials of DMD. The NPI Number for Jessica Leigh Bogucki is 1083977672 and holds a License No. (Rhode Island).

The current practice location address for Jessica Leigh Bogucki is 830 Chalkstone Ave, Providence, RI and can be reached out via phone at 860-391-2445.

Location: 830 Chalkstone Ave, Providence, RI, 02908-4734
person
Provider Profile Details
NPI Number
1083977672
Provider Name
Jessica Leigh Bogucki
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
830 Chalkstone Ave, Providence, RI, 02908-4734
Phone Number
860-391-2445
Fax Number
Provider Enumeration Date
06/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
830 Chalkstone Ave
City
State
Zip
02908-4734
Phone Number
860-391-2445
Fax Number
person
Provider Business Mailing Address Details
Address
830 Chalkstone Ave
City
State
Zip
02908-4734
Phone Number
860-391-2445
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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