Individual
DR. JOSEPH L DISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
390 MAIN STREET, WAKEFIELD, RI 02879
(401) 789-8693
(401) 788-9438
Mailing address
390 MAIN STREET, WAKEFIELD, RI 02879
(401) 789-8693
(401) 788-9438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1457
RI
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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