Organization
MIDDLETOWN FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CAPALBO DO (CHIEF DENTIST)
(860) 944-4149
Entity
Organization
Contact information
Practice address
770 AQUIDNECK AVE, MIDDLETOWN, RI 02842-7246
(401) 847-2094
Mailing address
29 UPDIKE AVE, NORTH KINGSTOWN, RI 02852-5728
(860) 944-4149
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
1073658258
RI
261QD0000X
Dental Clinic/Center
1073658258
—
261QD0000X
Dental Clinic/Center
Primary
2931
RI
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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