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Individual

DR. GABRIEL WASSOUF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2477 E MAIN RD, PORTSMOUTH, RI 02871-4027
(401) 683-1692
(401) 683-1697
Mailing address
2477 E MAIN RD, P.O.BOX 2477, PORTSMOUTH, RI 02871-4027
(401) 683-1692
(401) 683-1697

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2671
RI

Other

Enumeration date
12/21/2006
Last updated
07/08/2007
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