Individual
JASON CONFORTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
189 WATERMAN ST, PROVIDENCE, RI 02906-4014
(401) 351-0072
(401) 351-0055
Mailing address
189 WATERMAN ST, PROVIDENCE, RI 02906-4014
(401) 351-0072
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN03086
RI
Other
Enumeration date
07/20/2009
Last updated
03/12/2013
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