Organization
WICKFORD DENTAL ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL N BOSCRA DMD (DENTIST)
(401) 295-8806
Entity
Organization
Contact information
Practice address
181 WEST MAIN ST, N KINGSTON, RI 02852
(401) 295-8806
(401) 295-8828
Mailing address
181 WEST MAIN ST, N KINGSTON, RI 02852
(401) 295-8806
(401) 295-8828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN02574
RI
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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