Organization
WILFREDO L SANCIANCO DMD INC
Active
Parent organization
WILFREDO L SANCIANCO DMD INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILFREDO L SANCIANCO DMD INC
Authorized official
DR. WILFREDO LUANING SANCIANCO (OWNER/DENTIST)
(401) 737-7715
Entity
Organization
Contact information
Practice address
3411 W SHIORE RD, WARWICK, RI 02886
(401) 737-7715
(401) 734-9580
Mailing address
3411 W SHORE RD, WARWICK, RI 02886-7561
(401) 737-7715
(401) 734-9580
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
02633
RI
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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