Individual
DR. MICHELLE D GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2780 PAWT AVE, E PROVIDENCE, RI 02914
(401) 434-7471
(401) 431-0591
Mailing address
2780 PAWT AVE, E PROVIDENCE, RI 02914
(401) 434-7471
(401) 431-0591
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2511
RI
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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