Individual
MILI KOIRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
335R PRAIRIE AVE, PROVIDENCE, RI 02905-2426
(401) 444-0430
(401) 444-0489
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
CDEN03588
RI
122300000X
Dentist
Primary
DEN03588
RI
1223G0001X
General Practice Dentistry
Primary
DN1859606
MA
Other
Enumeration date
11/03/2021
Last updated
07/17/2026
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