Organization
CITY DENTAL OF WOONSOCKET, LLC
Active
Parent organization
CITY DENTAL, LLC
Other names
city dental of woonsocket, llc
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY DENTAL, LLC
Authorized official
MRS. JOSEPHINE ROCA BA (OFFICE MANAGER)
(401) 597-5920
Entity
Organization
Contact information
Practice address
515 SOCIAL ST, WOONSOCKET, RI 02895-2043
(401) 597-5920
Mailing address
515 SOCIAL ST, WOONSOCKET, RI 02895-2043
(401) 597-5920
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548321235
NP INDIVIDUAL
RI
Enumeration date
04/26/2010
Last updated
04/26/2010
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