Organization
DR. LAWRENCE D PAGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE D PAGE DMD (DENTIST)
(401) 421-9350
Entity
Organization
Contact information
Practice address
31 ELMGROVE AVE, PROVIDENCE, RI 02906-4103
(401) 421-9350
Mailing address
31 ELMGROVE AVE, PROVIDENCE, RI 02906-4103
(401) 421-9350
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1348
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LP01970
—
RI
05
—
LP01971
—
RI
05
—
MP01974
—
RI
Enumeration date
07/19/2007
Last updated
07/16/2008
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