Organization
SUNNYSIDE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OZREN BUNTAK D.M.D. (PRESIDENT)
(401) 272-4900
Entity
Organization
Contact information
Practice address
381 ANGELL ST, PROVIDENCE, RI 02906-3214
(401) 272-4900
(401) 272-5989
Mailing address
381 ANGELL ST, PROVIDENCE, RI 02906-3214
(401) 272-4900
(401) 272-5989
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN02762
RI
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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