Organization
HIGHLAND DENTAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY M. FORTI D.D.S. (PRESIDENT)
(401) 728-6350
Entity
Organization
Contact information
Practice address
1189 SMITHFIELD AVE, LINCOLN, RI 02865-2517
(401) 728-6350
(401) 728-3917
Mailing address
1189 SMITHFIELD AVE, LINCOLN, RI 02865-2517
(401) 728-6350
(401) 728-3917
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LF2168
RI
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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