Organization
DIMITRI G. GAMIM, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIMITRI GEORGE GANIM (OWNER/DENTIST)
(401) 725-6140
Entity
Organization
Contact information
Practice address
878 NEWPORT AVE, PAWTUCKET, RI 02861-2642
(401) 725-6140
Mailing address
878 NEWPORT AVE, PAWTUCKET, RI 02861-2642
(401) 725-6140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1661
RI
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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