Organization
ADVANCED COSMETIC DENTISTRY LTD
Active
Other names
Periodontology Associates Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L GLICK DDS (PRESIDENT)
(401) 943-6311
Entity
Organization
Contact information
Practice address
1090 NEW LONDON AVE, CRANSTON, RI 02920-3035
(401) 943-6311
(401) 943-2030
Mailing address
1090 NEW LONDON AVE, CRANSTON, RI 02920-3035
(401) 943-6311
(401) 943-2030
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
RI
Other
Enumeration date
09/11/2008
Last updated
03/03/2016
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