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Organization
EAST BAY ORAL SURGERY
Active
Organization
EAST BAY ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN NICHOLAS BAKIAS DDS (OWNER)
(401) 435-4240
Entity
Organization
Contact information
Practice address
2224 PAWTUCKET AVENUE, EAST PROVIDENCE, RI 02914
(401) 435-4240
(401) 435-4245
Mailing address
2224 PAWTUCKET AVENUE, EAST PROVIDENCE, RI 02914
(401) 435-4240
(401) 435-4245
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1686
RI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
16987
MA
Other
Enumeration date
05/03/2006
Last updated
04/20/2008
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