Individual
LAURA CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1482 BROAD ST, PROVIDENCE, RI 02905-2836
(352) 408-1355
Mailing address
1482 BROAD ST, PROVIDENCE, RI 02905-2836
(352) 408-1355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN03519
RI
Other
Enumeration date
07/28/2020
Last updated
08/28/2025
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