Organization
BENEFIT DENTAL CARE, LLC
Active
Parent organization
BENEFIT DENTAL CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENEFIT DENTAL CARE, LLC
Authorized official
MARDY COSTA (ADMINISTRATOR)
(508) 728-5019
Entity
Organization
Contact information
Practice address
159 GOVERNOR ST, PROVIDENCE, RI 02906-3062
(401) 274-1140
Mailing address
159 GOVERNOR ST, PROVIDENCE, RI 02906-3062
(401) 274-1140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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