Individual
RUSUL ABDULRAZZAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
335R PRAIRIE AVE, PROVIDENCE, RI 02905-2426
(401) 444-0430
(401) 444-0489
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN03720
RI
Other
Enumeration date
05/29/2024
Last updated
06/05/2024
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