Organization
LAKESIDE DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL F. CALITRI D.M.D. (PRESIDENT)
(401) 392-3320
Entity
Organization
Contact information
Practice address
34 NOOSENECK HILL RD, UNIT #1, WEST GREENWICH, RI 02817-1509
(401) 392-3320
(401) 392-3380
Mailing address
34 NOOSENECK HILL RD, UNIT #1, WEST GREENWICH, RI 02817-1509
(401) 392-3320
(401) 392-3380
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2007
Last updated
08/03/2011
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