Organization
ADVANCED DENTISTRY OF RHODE ISLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN S LEE (PRESIDENT)
(617) 833-0158
Entity
Organization
Contact information
Practice address
250 WAMPANOAG TRL STE 103, RIVERSIDE, RI 02915-2215
(401) 434-4413
Mailing address
250 WAMPANOAG TRL STE 103, RIVERSIDE, RI 02915-2215
(401) 434-4413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
10/13/2020
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