Individual
MAULIK KOTDAWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1384 ATWOOD AVE, JOHNSTON, RI 02919
(401) 943-0400
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(866) 273-8204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN03046
RI
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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