Individual
RUPESH R UDESHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1414 ATWOOD AVE, SUITE #350, JOHNSTON, RI 02919-4839
(401) 331-7665
Mailing address
1414 ATWOOD AVE, SUITE #350, JOHNSTON, RI 02919-4839
(401) 331-7665
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22217
MA
1223G0001X
General Practice Dentistry
009884
CT
1223G0001X
General Practice Dentistry
053566
NY
1223G0001X
General Practice Dentistry
Primary
DEN03011
RI
Other
Enumeration date
07/18/2007
Last updated
04/08/2015
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