Individual
RAY REZANIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 SOUTH BROADWAY, EAST PROVIDENCE, RI 02914
(401) 438-0200
(401) 438-0211
Mailing address
1055 B SOUTH BROADWAY STREET, EAST PROVIDENCE, RI 02914
(401) 438-0200
(401) 438-0211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN02681
RI
Other
Enumeration date
08/19/2009
Last updated
07/24/2013
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