Individual
DR. NICHOLAS JP SANTARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
12 COLE AVE, PROVIDENCE, RI 02906-4502
(315) 430-4837
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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