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Organization

FUNSMILES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHEILA LIONHEART BRIJADE DDS,MS (PRESIDENT)
(401) 834-1200
Entity
Organization

Contact information

Practice address
123 SCHOOL ST STE 1, PAWTUCKET, RI 02860-4203
(401) 834-1200
(401) 834-1201
Mailing address
123 SCHOOL ST STE 1, PAWTUCKET, RI 02860-4203
(401) 834-1200
(401) 834-1201

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DEN03218
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SB11948
RI
Enumeration date
03/01/2016
Last updated
03/01/2016
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