Organization
DENTAL RI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ROBERT GALLUCCI DMD (DENTIST)
(401) 533-3108
Entity
Organization
Contact information
Practice address
1249 OAKLAWN AVE, CRANSTON, RI 02920-2621
(401) 463-8000
Mailing address
5 LOVEGREEN LN, EAST GREENWICH, RI 02818-1163
(401) 533-3108
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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