Organization
JAN CERVENKA DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN R CERVENKA DMD (DENTIST)
(401) 737-5555
Entity
Organization
Contact information
Practice address
2212 POST RD, WARWICK, RI 02886-1540
(401) 737-5555
Mailing address
2212 POST RD, WARWICK, RI 02886-1540
(401) 737-5555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2564
RI
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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