Organization
OCEAN STATE ORAL SURGERY CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON CHRISTOPHER ERCOLE D.D.S. (OWNER OF BUSINESS)
(562) 833-5570
Entity
Organization
Contact information
Practice address
468 SMITHFIELD RD, NORTH PROVIDENCE, RI 02904-4238
(401) 353-1515
Mailing address
468 SMITHFIELD RD, NORTH PROVIDENCE, RI 02904-4238
(401) 353-1515
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
DEN03249
RI
Other
Enumeration date
03/04/2015
Last updated
12/30/2015
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