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Organization
401 DENTAL, LLC
Active
Organization
401 DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA POPOV (SINGLE MEMBER)
(401) 660-7460
Entity
Organization
Contact information
Practice address
41 SANDERSON RD STE 106, SMITHFIELD, RI 02917-2611
(401) 349-3290
Mailing address
53 KENNEDY CT, CUMBERLAND, RI 02864-3568
(401) 660-7460
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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