Organization
BURTON FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE CASARELLA (CONSULTANT)
(860) 276-1586
Entity
Organization
Contact information
Practice address
1492 MINERAL SPRING AVE, NORTH PROVIDENCE, RI 02904-3130
(401) 353-4880
Mailing address
1492 MINERAL SPRING AVE, NORTH PROVIDENCE, RI 02904-3130
(401) 353-4880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1684
RI
Other
Enumeration date
01/29/2017
Last updated
01/29/2017
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