Individual
DR. LAWRENCE D PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
31 ELMGROVE AVE, PROV, RI 02906
(401) 421-9350
(401) 421-6450
Mailing address
31 ELMGROVE AVE, PROV, RI 02906
(401) 421-9350
(401) 421-6450
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1348
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LP01970
—
RI
Enumeration date
02/09/2007
Last updated
07/08/2007
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