# RI DDS (ADIL)

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

## Provider details

- **NPI number:** 1710232921
- **Authorized official:** MR. JOHN MICROULIS (ADMINISTRATOR)
- **Authorized official phone:** (401) 222-3182

## Contact information

- **Practice address:** 8 OLIVE ST, PROVIDENCE, RI 02906-1310
- **Practice address phone:** (401) 861-2001
- **Mailing address:** 8 OLIVE ST, PROVIDENCE, RI 02906-1310
- **Mailing address phone:** (401) 861-2001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | MD04710 | RI | Yes |

## Other

- **Enumeration date:** 07/13/2012
- **Last updated:** 07/13/2012