Organization
RESNEVIC DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE RESNEVIC DMD (OWNER/DENTIST)
(401) 567-0500
Entity
Organization
Contact information
Practice address
895 PUTNAM PIKE, CHEPACHET, RI 02814-1471
(401) 567-0500
(401) 567-9272
Mailing address
895 PUTNAM PIKE, CHEPACHET, RI 02814-1471
(401) 567-0500
(401) 567-9272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1789
RI
1223G0001X
General Practice Dentistry
3131
RI
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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