Organization
ARTISTIC CONTOURS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MO BANKI DMD, MD (PARTNER)
(401) 739-5500
Entity
Organization
Contact information
Practice address
243 JEFFERSON BLVD, WARWICK, RI 02888-3818
(401) 739-5500
Mailing address
243 JEFFERSON BLVD, WARWICK, RI 02888-3818
(401) 739-5500
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
13998
RI
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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