Organization
CRANSTON COSMETIC DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LES PRASAD DDS (OWNER)
(401) 944-7556
Entity
Organization
Contact information
Practice address
989 RESERVOIR AVE, CRANSTON, RI 02910-5138
(401) 944-7556
(401) 228-7188
Mailing address
989 RESERVOIR AVE, CRANSTON, RI 02910-5138
(401) 944-7556
(401) 228-7188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
01827
RI
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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