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Organization
AQUIDNECK AVENUE FAMILY DENTAL
Active
Organization
AQUIDNECK AVENUE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNJAY VIJAY PATIL D.M.D. (DENTIST)
(401) 846-9660
Entity
Organization
Contact information
Practice address
747 AQUIDNECK AVE, MIDDLETOWN, RI 02842-7265
(401) 846-9660
(401) 846-9667
Mailing address
747 AQUIDNECK AVE, MIDDLETOWN, RI 02842-7265
(401) 846-9660
(401) 846-9667
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
831299
CONCORDIA
PA
01
—
85454
BLUE CROSS
RI
01
—
RG0120
BLUE CROSS
MA
Enumeration date
07/15/2008
Last updated
07/15/2008
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