Organization
BLACKSTONE DENTAL,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL ANTONIO FRIAS DDS (DENTIST/OWNER)
(401) 722-4086
Entity
Organization
Contact information
Practice address
1044 BROAD ST, CENTRAL FALLS, RI 02863-1507
(401) 722-4086
(401) 475-1811
Mailing address
1044 BROAD ST, CENTRAL FALLS, RI 02863-1507
(401) 722-4086
(401) 475-1811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
02994
RI
Other
Enumeration date
12/17/2010
Last updated
10/18/2023
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