Organization
CRANSTON PEDIATRIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATHANASIOS ZAVRAS DDS, MS, DMSC (PRESIDENT)
(617) 818-0573
Entity
Organization
Contact information
Practice address
67 PHENIX AVE, CRANSTON, RI 02920-4233
(617) 818-0573
Mailing address
64 PINE ST, DOVER, MA 02030-2426
(617) 818-0573
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN03342
RI
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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