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Individual
DR. STEPHEN J PUERINI JR.
Active
Individual
DR. STEPHEN J PUERINI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
RI2810
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7002477
MEDICAL ASSISTANCE
RI
Enumeration date
12/04/2006
Last updated
04/14/2016
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