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Organization

RI DENTAL CARE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL KOTUBY DMD (PRESIDENT)
(401) 729-9500
Entity
Organization

Contact information

Practice address
868 CHARLES STRETE, NORTH PROVIDENCE, RI 02904-5646
(401) 729-9500
(401) 729-9519
Mailing address
868 CHARLES ST, NORTH PROVIDENCE, RI 02904-5646
(401) 729-9500
(401) 729-9519

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN1874
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1144473588
RI
05
1336478882
RI
05
1346521200
RI
05
158695658
RI
05
1942323621
RI
Enumeration date
10/06/2011
Last updated
10/06/2011
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