Organization
RHODE ISLAND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY B MANSOLILLO (MANAGER PARTNER)
(401) 885-8808
Entity
Organization
Contact information
Practice address
63 CEDAR AVE UNIT 9, EAST GREENWICH, RI 02818-3192
(401) 885-8808
(401) 885-8810
Mailing address
63 CEDAR AVE UNIT 9, EAST GREENWICH, RI 02818-3192
(401) 885-8808
(401) 885-8810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2648
RI
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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