Organization
BEACON DENTAL HEALTH RI II LLC
Active
Other names
Warren Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
HIRO SORIANO (CIO)
(516) 344-5746
Entity
Organization
Contact information
Practice address
634 MAIN ST, WARREN, RI 02885-4387
(401) 245-5825
(631) 396-0452
Mailing address
135 PINELAWN RD STE 150S, MELVILLE, NY 11747-3187
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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