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Organization

LAKESIDE DENTAL, INC.

Active
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Organization

LAKESIDE DENTAL, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL F. CALITRI D.M.D. (PRESIDENT)
(401) 392-3320
Entity
Organization

Contact information

Practice address
34 NOOSENECK HILL RD, UNIT #1, WEST GREENWICH, RI 02817-1509
(401) 392-3320
(401) 392-3380
Mailing address
34 NOOSENECK HILL RD, UNIT #1, WEST GREENWICH, RI 02817-1509
(401) 392-3320
(401) 392-3380

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—

Other

Enumeration date
12/04/2007
Last updated
08/03/2011
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