specializing in dentist in Providence, Rhode Island

NPI: 1104234350

Provider Type

2

Practice Locations

Mailing Location

159 GOVERNOR ST

PROVIDENCE, RI 02906

Practice Location

159 GOVERNOR ST

PROVIDENCE, RI 02906

📞 4012741140

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:7/31/2014
Last Updated:7/31/2014

Credentials

Primary Credential:
null null null - Dentist in Providence, Rhode Island