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Organization

SOCIAL STREET DENTAL

Active
Other names
social street dental
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEFA RIVERA (OFFICE ASSISTANT)
(401) 921-1575
Entity
Organization

Contact information

Practice address
515 SOCIAL ST, WOONSOCKET, RI 02895-2043
(401) 597-5920
(401) 597-5924
Mailing address
515 SOCIAL ST, WOONSOCKET, RI 02895-2043
(401) 597-5920
(401) 597-5924

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DEN02637
RI

Other

Enumeration date
05/15/2018
Last updated
08/17/2018
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