Individual
DR. STEPHEN J PUERINI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
115 BUDLONG RD, CRANSTON, RI 02920-6429
(401) 944-8100
Mailing address
115 BUDLONG RD, CRANSTON, RI 02920-6429
(401) 944-8100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
RI2810
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7002477
MEDICAL ASSISTANCE
RI
Enumeration date
12/04/2006
Last updated
04/14/2016
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