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Individual

CHRISTINE OBRIEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1219 MAIN STREET, WEST WARWICK, RI 02893
(401) 615-2800
(401) 615-2805
Mailing address
191 SOCIAL STREET, THUNDERMIST HEALTH CENTER, WOOMSOCKET, RI 02895
(401) 767-4163
(401) 767-4165

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN02729
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
C054553
RI
Enumeration date
05/19/2006
Last updated
07/08/2007
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