Individual
DR. ROBERT CARL IMPAGLIAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
712 OAKLAWN AVE, CRANSTON, RI 02920-2858
(401) 944-6050
Mailing address
712 OAKLAWN AVE, CRANSTON, RI 02920-2858
(401) 944-6050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN01807
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1807
DELTA DENTAL
RI
01
—
8473-8
BLUE CROSS OF RI
RI
01
—
RI 00314
EDS
RI
Enumeration date
02/24/2007
Last updated
07/08/2007
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