Individual
DAVID KLIBANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 BROAD ST, PAWTUCKET, RI 02860-2053
(401) 723-3400
(401) 727-2326
Mailing address
121 BROAD ST, PAWTUCKET, RI 02860-2053
(401) 723-3400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG476
RI
Other
Enumeration date
03/12/2006
Last updated
05/20/2008
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