Individual
DR. THOMAS G DEPETRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
425 ANGELL ST, PROVIDENCE, RI 02906-4403
(401) 272-2331
Mailing address
425 ANGELL ST, PROVIDENCE, RI 02906-4403
(401) 272-2331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2360
RI
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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