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Individual

DR. BRAD JOHN TURCHETTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1865 POST RD, SUITE 204, WARWICK, RI 02886-1547
(401) 739-5252
(401) 739-2064
Mailing address
1865 POST RD, SUITE 204, WARWICK, RI 02886-1547
(401) 739-5252
(401) 739-2064

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2642
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1863667
UNITED CONCORDIA PROVIDER
RI
01
8434-5
BLUE CROSS PROVIDER NUMBE
RI
Enumeration date
08/15/2006
Last updated
07/08/2007
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