Individual
CAROL BONGIOVANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
24 SALT POND RD, WAKEFIELD, RI 02879-4314
(401) 783-9890
Mailing address
232 TAYLOR RD, PORTSMOUTH, RI 02871-5419
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN02692
RI
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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