Organization
CLOCK TOWER ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKIE ANDERSON (FINANCIAL COORDINATOR)
(401) 285-1188
Entity
Organization
Contact information
Practice address
206 CLOCK TOWER SQ, PORTSMOUTH, RI 02871-1397
(401) 285-1188
Mailing address
206 CLOCK TOWER SQ, PORTSMOUTH, RI 02871-1397
(401) 285-1188
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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