# CRANSTON COSMETIC DENTISTRY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427294321
- **Authorized official:** DR. LES PRASAD DDS (OWNER)
- **Authorized official phone:** (401) 944-7556

## Contact information

- **Practice address:** 989 RESERVOIR AVE, CRANSTON, RI 02910-5138
- **Practice address phone:** (401) 944-7556
- **Practice address fax:** (401) 228-7188
- **Mailing address:** 989 RESERVOIR AVE, CRANSTON, RI 02910-5138
- **Mailing address phone:** (401) 944-7556
- **Mailing address fax:** (401) 228-7188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 01827 | RI | Yes |

## Other

- **Enumeration date:** 12/23/2008
- **Last updated:** 12/23/2008
