Organization
ORAL MAXILLOFACIAL SURGERY AND DENTAL IMPLANT CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE MERCER (BILLING & ADMINISTRATIVE MANAGER)
(401) 595-5369
Entity
Organization
Contact information
Practice address
65 W MAIN RD, MIDDLETOWN, RI 02842-4933
(401) 848-0070
(401) 848-2225
Mailing address
65 W MAIN RD, MIDDLETOWN, RI 02842-4933
(401) 848-0070
(401) 848-2225
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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