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Organization
ORAL MAXILLOFACIAL SURGERY AND DENTAL IMPLANT CENTER PC
Active
Organization
ORAL MAXILLOFACIAL SURGERY AND DENTAL IMPLANT CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE MERCER (BILLING & ADMINISTRATIVE MANAGER)
(401) 595-5369
Entity
Organization
Contact information
Practice address
65 W MAIN RD, MIDDLETOWN, RI 02842-4933
(401) 848-0070
(401) 848-2225
Mailing address
65 W MAIN RD, MIDDLETOWN, RI 02842-4933
(401) 848-0070
(401) 848-2225
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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