Organization
CHARLES P. COLUMPAR, JR., DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE ANTHONY LABORE DDS (PRESIDENT/OWNER)
(401) 846-6265
Entity
Organization
Contact information
Practice address
477 E MAIN RD, MIDDLETOWN, RI 02842-5202
(401) 846-6265
(401) 846-1648
Mailing address
477 E MAIN RD, MIDDLETOWN, RI 02842-5202
(401) 846-6265
(401) 846-1648
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1518
RI
122300000X
Dentist
1600
RI
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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