Individual
MRS. BRENDA R PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
67 JEFFERSON BOULVARD, WARWICK, RI 02888-1053
(401) 781-2742
(401) 781-2740
Mailing address
67 JEFFERSON BOULVARD, WARWICK, RI 02888-1053
(401) 781-2742
(401) 781-2740
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DEN02556
RI
1223P0300X
Periodontics
DN18948
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEN 02556
STATE DENTAL LIC
RI
01
—
DN18948
STATE DENTAL LIC
MA
Enumeration date
03/08/2007
Last updated
12/13/2011
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