Individual
DR. ANTONIO MANUEL GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16 BRIDGE STREET, CORLISS LANDING, PROVIDENCE, RI 02903-4362
(401) 861-5600
(401) 861-5603
Mailing address
1345 ROCKDALE AVE, NEW BEDFORD, MA 02740-1932
(508) 997-8544
(508) 992-1114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
02274
RI
1223G0001X
General Practice Dentistry
16427
MA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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