Organization
JOHN S. CARROCCIA DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SALVATORE CARROCCCIA DDS (OWNER)
(401) 942-4760
Entity
Organization
Contact information
Practice address
136 PHENIX AVE, CRANSTON, RI 02920-4259
(401) 942-4760
(401) 944-0746
Mailing address
136 PHENIX AVE, CRANSTON, RI 02920-4259
(401) 942-4760
(401) 944-0746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1977
RI
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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