Individual
DR. DANIEL MACKENZIE PICKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
115 BUDLONG RD, CRANSTON, RI 02920-6429
(401) 944-8100
Mailing address
115 BUDLONG RD, CRANSTON, RI 02920-6429
(401) 944-8100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN03480
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/30/2019
Last updated
08/17/2020
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