Organization
PROVIDENCE DENTAL SLEEP CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHRA BETH RUBINSTEIN SHOCKET DDS (OWNER/PRESIDENT)
(401) 455-1252
Entity
Organization
Contact information
Practice address
362 IVES ST, PROVIDENCE, RI 02906-3929
(401) 455-1252
(401) 421-9124
Mailing address
362 IVES ST, PROVIDENCE, RI 02906-3929
(401) 455-1252
(401) 421-9124
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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