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Organization

OCEAN STATE DENTAL HYGIENE SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE J PERIQUITO (PRESIDENT/OWNER)
(401) 374-4151
Entity
Organization

Contact information

Practice address
1522 ELMWOOD AVE, CRANSTON, RI 02910-3819
(401) 827-9939
Mailing address
1522 ELMWOOD AVE, CRANSTON, RI 02910-3819
(401) 827-9939

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary

Other

Enumeration date
02/09/2023
Last updated
08/17/2023
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